Healthcare Provider Details

I. General information

NPI: 1104737659
Provider Name (Legal Business Name): DESERT COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77564 COUNTRY CLUB DR STE 404
PALM DESERT CA
92211-6246
US

IV. Provider business mailing address

77564 COUNTRY CLUB DR STE 404
PALM DESERT CA
92211-6246
US

V. Phone/Fax

Practice location:
  • Phone: 760-851-8302
  • Fax: 760-867-2437
Mailing address:
  • Phone: 760-851-8302
  • Fax: 760-867-2437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARAH TORRES
Title or Position: LPCC/OWNER
Credential:
Phone: 760-851-8302