# ROSS WELLNESS AND BEHAVIORAL HEALTH SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891655106
- **Authorized official:** OQUANDRYIA ROSS LCSW, DHA (OWNER)
- **Authorized official phone:** (662) 588-4180

## Contact information

- **Practice address:** 110 YAZOO AVE STE 228-229, CLARKSDALE, MS 38614-4310
- **Practice address phone:** (662) 588-4180
- **Mailing address:** 110 YAZOO AVE STE 228-229, CLARKSDALE, MS 38614-4310
- **Mailing address phone:** (662) 588-4180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2025
- **Last updated:** 11/19/2025