MEDICARE: BIANCA ROSS MSW, LCDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TA0400X	Addiction (Substance Use Disorder) Psychologist
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	101YM0800X	Mental Health Counselor
4	253Z00000X	In Home Supportive Care Agency
5	101Y00000X	Counselor
6	261QM0850X	Adult Mental Health Clinic/Center
7	101YA0400X	Addiction (Substance Use Disorder) Counselor
8	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1235093832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA ROSS MSW, LCDC

Provider Business Mailing Address
First Line	:	10228 E NORTHWEST HWY STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-4408
Country	:	US
Telephone Number	:	945-201-5324
Fax Number	:

Provider Business Practice Location Address
First Line	:	719 TICONDEROGA DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-4922
Country	:	US
Telephone Number	:	945-201-5324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	01/15/2026

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