Healthcare Provider Details

I. General information

NPI: 1023313566
Provider Name (Legal Business Name): AMANDA TARPLEY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2011
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 CLAIREMONT MESA BLVD # 200B
SAN DIEGO CA
92111-1320
US

IV. Provider business mailing address

PO BOX 602060
SAN DIEGO CA
92160-2060
US

V. Phone/Fax

Practice location:
  • Phone: 714-935-8198
  • Fax:
Mailing address:
  • Phone: 877-840-6956
  • Fax: 619-383-6701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberTPMF1587
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number145877
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: