Provider Demographics
NPI:1235665514
Name:ROSS COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:ROSS COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:706-662-5704
Mailing Address - Street 1:166 N GAY ST
Mailing Address - Street 2:SUITE #16
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-4800
Mailing Address - Country:US
Mailing Address - Phone:706-662-5704
Mailing Address - Fax:
Practice Address - Street 1:166 N GAY ST
Practice Address - Street 2:SUITE #16
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-4800
Practice Address - Country:US
Practice Address - Phone:706-662-5704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3064101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty