# IMAN J. ROSS, PHD, LPC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ross Psychological Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437446507
- **Authorized official:** DR. IMAN J ROSS PHD (PRESIDENT/FOUNDER)
- **Authorized official phone:** (469) 236-3999

## Contact information

- **Practice address:** 1106 SANTA FE TRL, SUITE 2, DUNCANVILLE, TX 75137-3063
- **Practice address phone:** (469) 236-3999
- **Practice address fax:** (469) 293-4144
- **Mailing address:** 1106 SANTA FE TRL, SUITE 2, DUNCANVILLE, TX 75137-3063
- **Mailing address phone:** (469) 236-3999
- **Mailing address fax:** (469) 293-4144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 99184 | TX | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 6742 | TX | — |
| 101YM0800X | Mental Health Counselor | 18030 | TX | Yes |

## Other

- **Enumeration date:** 07/08/2011
- **Last updated:** 07/08/2011