Healthcare Provider Details

I. General information

NPI: 1437663705
Provider Name (Legal Business Name): TOSHA DIANNE ROLLINS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2017
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 E 1ST AVE
EASLEY SC
29640-3063
US

IV. Provider business mailing address

207 APPLE DR
LIBERTY SC
29657-9370
US

V. Phone/Fax

Practice location:
  • Phone: 864-835-8409
  • Fax:
Mailing address:
  • Phone: 864-551-5984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.7576PC
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: