Healthcare Provider Details

I. General information

NPI: 1255244729
Provider Name (Legal Business Name): DESERT ROSE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 GADSDEN ST STE 204
COLUMBIA SC
29201-6400
US

IV. Provider business mailing address

304 RAPIDS CT
COLUMBIA SC
29212-3037
US

V. Phone/Fax

Practice location:
  • Phone: 803-254-9767
  • Fax:
Mailing address:
  • Phone: 803-315-4960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARAH ANNE WILLIAMS
Title or Position: COUNSELOR
Credential: LPC
Phone: 803-397-2367