MEDICARE: WILLIAM L ROSS LPC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	77695	TX

General Provider Information

NPI Number	:	1790520880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM L ROSS LPC

Provider Business Mailing Address
First Line	:	2431 S MARSALIS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-2303
Country	:	US
Telephone Number	:	214-941-2531
Fax Number	:

Provider Business Practice Location Address
First Line	:	2431 S MARSALIS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-2303
Country	:	US
Telephone Number	:	214-941-2531
Fax Number	:

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

Provider Enumeration Date	:	06/28/2024
Last Update Date	:	06/28/2024

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Directions to “ WILLIAM L ROSS LPC” Practice Location

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