Provider Demographics
NPI:1790591220
Name:ROSS & ASSOCIATES COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:ROSS & ASSOCIATES COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHENETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:316-616-5704
Mailing Address - Street 1:7676 E POLO DR UNIT 19
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3878
Mailing Address - Country:US
Mailing Address - Phone:316-616-5704
Mailing Address - Fax:
Practice Address - Street 1:7676 E POLO DR UNIT 19
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3878
Practice Address - Country:US
Practice Address - Phone:316-616-5704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty