Provider Demographics
NPI:1437937521
Name:TUNSTALL, FAITH (LPC)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:TUNSTALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 NEW GARDEN RD # 1183
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2001
Mailing Address - Country:US
Mailing Address - Phone:336-298-6791
Mailing Address - Fax:
Practice Address - Street 1:19415 DEERFIELD AVE STE 316
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8472
Practice Address - Country:US
Practice Address - Phone:571-831-0999
Practice Address - Fax:571-291-4270
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012831101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty