Provider Demographics
NPI:1215128384
Name:MALUNAY, TINA M (LPC)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:M
Last Name:MALUNAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:M
Other - Last Name:HORVATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1060 BOILING SPRINGS ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-2236
Mailing Address - Country:US
Mailing Address - Phone:864-754-4018
Mailing Address - Fax:864-754-4022
Practice Address - Street 1:1060 BOILING SPRINGS ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-2236
Practice Address - Country:US
Practice Address - Phone:864-754-4018
Practice Address - Fax:864-754-4022
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5031101YP2500X
SC4620101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1691Medicaid
SC3335OtherMEDICARE GROUP NUMBER
SC121328Medicaid