Healthcare Provider Details

I. General information

NPI: 1790209849
Provider Name (Legal Business Name): BRIANNA TARPEY CAMPBELL LMFT 113607
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIANNA GLYN TARPEY

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10255 38TH AVE SW
SEATTLE WA
98146-1119
US

IV. Provider business mailing address

10255 38TH AVE SW
SEATTLE WA
98146-1119
US

V. Phone/Fax

Practice location:
  • Phone: 925-876-9547
  • Fax:
Mailing address:
  • Phone: 925-876-9547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number113607
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number170132014
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number113607
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: