Healthcare Provider Details

I. General information

NPI: 1043145378
Provider Name (Legal Business Name): ROSE COUNSELING & COACHING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 N HIGH ST STE 112
NEW ALBANY OH
43054-8915
US

IV. Provider business mailing address

94 CROSSING PL
JOHNSTOWN OH
43031-9499
US

V. Phone/Fax

Practice location:
  • Phone: 614-615-5858
  • Fax:
Mailing address:
  • Phone: 443-716-5488
  • Fax:

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: DESTINY SEGOVIA
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LPCC
Phone: 443-716-5488