Provider Demographics
NPI:1003507153
Name:KOMETER, ANNA ROSE (LPC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:ROSE
Last Name:KOMETER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 INDY DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-5176
Mailing Address - Country:US
Mailing Address - Phone:334-306-8363
Mailing Address - Fax:
Practice Address - Street 1:65 GADSDEN ST STE 100
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-1159
Practice Address - Country:US
Practice Address - Phone:434-404-5086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11227101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional