Destanie Elizabeth Rose Spradley
Counselor, Professional in Columbia, SC. Individual provider (NPI-1).
NPI number1033045190
StatusActive
Last updated in NPPESJun 18, 2026
Details
- NPI
- 1033045190
- Entity type
- Individual (NPI-1)
- Name
- Destanie Elizabeth Rose Spradley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2026
- Certification date
- Jun 18, 2026
- Last updated
- Jun 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 10702 | SC | Yes |
Practice location
1777 Bull StColumbia, SC 29201-2523
Phone 803-814-5559
Mailing address
1777 Bull StColumbia, SC 29201-2523
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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