Provider Demographics
NPI:1326132747
Name:ROSS FAMILY COUNSELING INC
Entity Type:Organization
Organization Name:ROSS FAMILY COUNSELING INC
Other - Org Name:DONNA M. ROSS, LCSW
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-375-9660
Mailing Address - Street 1:115 W WOOLBRIGHT RD
Mailing Address - Street 2:BLDG 2
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435
Mailing Address - Country:US
Mailing Address - Phone:561-375-9660
Mailing Address - Fax:
Practice Address - Street 1:115 W WOOLBRIGHT RD
Practice Address - Street 2:BLDG 2
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435
Practice Address - Country:US
Practice Address - Phone:561-375-9660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW51081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1255446795OtherNPI DONNA M. ROSS LCSW
FLS59687Medicare UPIN
FL1255446795OtherNPI DONNA M. ROSS LCSW