Healthcare Provider Details

I. General information

NPI: 1841333978
Provider Name (Legal Business Name): STELLA M. VERNA ROSS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10805 SW 77TH CT
PINECREST FL
33156-3728
US

IV. Provider business mailing address

14707 S DIXIE HWY SUITE # 317
MIAMI FL
33176-7948
US

V. Phone/Fax

Practice location:
  • Phone: 305-254-9600
  • Fax:
Mailing address:
  • Phone: 305-254-9600
  • Fax: 305-662-9889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH5512
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: