Provider Demographics
NPI:1972396083
Name:BUMPAS, ALLISON DANIELLE (MMFT, LMFTA)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:DANIELLE
Last Name:BUMPAS
Suffix:
Gender:F
Credentials:MMFT, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 MCCAULEY RD
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-8008
Mailing Address - Country:US
Mailing Address - Phone:334-652-1881
Mailing Address - Fax:
Practice Address - Street 1:414 PETTIGRU ST STE A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3164
Practice Address - Country:US
Practice Address - Phone:864-581-2686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8863106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist