Provider Demographics
NPI:1235805185
Name:BUMGARNER, MARIANNE THOMPSON (MA, LPC-A)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:THOMPSON
Last Name:BUMGARNER
Suffix:
Gender:F
Credentials:MA, LPC-A
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-5348
Mailing Address - Country:US
Mailing Address - Phone:803-944-1575
Mailing Address - Fax:
Practice Address - Street 1:2200 WHITMIRE HWY
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-8898
Practice Address - Country:US
Practice Address - Phone:803-944-1575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health