Healthcare Provider Details

I. General information

NPI: 1235805185
Provider Name (Legal Business Name): MARIANNE THOMPSON BUMGARNER MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIANNE THOMPSON LPC

II. Dates (important events)

Enumeration Date: 08/20/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 WHITMIRE HWY
UNION SC
29379-8898
US

IV. Provider business mailing address

436 N DUNCAN BYP STE A
UNION SC
29379-8604
US

V. Phone/Fax

Practice location:
  • Phone: 803-944-1575
  • Fax:
Mailing address:
  • Phone: 803-944-1575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11426
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: