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Individual

BIANCA ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCDC

Contact information

Practice address
719 TICONDEROGA DR, GARLAND, TX 75043-4922
(945) 201-5324
Mailing address
10228 E NORTHWEST HWY STE 200, DALLAS, TX 75238-4408
(945) 201-5324

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
253Z00000X
In Home Supportive Care Agency
261QM0850X
Adult Mental Health Clinic/Center
311ZA0620X
Adult Care Home Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
12/10/2025
Last updated
01/15/2026
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