Organization Active NPI

Ross Wellness and Behavioral Health Services LLC

  • Clinical Social Worker
  • Clarksdale, MS
National Provider Identifier
1891655106
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROSS WELLNESS AND BEHAVIORAL HEALTH SERVICES LLC
Practice address
110 Yazoo Ave Ste 228-229
Clarksdale, MS 38614-4310
Phone
(662) 588-4180
NPI assigned
Nov 18, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Oquandryia Ross, LCSW, DHANPI 1033795943
Title
Owner
Phone
(662) 588-4180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

110 Yazoo Ave Ste 228-229
Clarksdale, MS 38614-4310

Mailing address

110 Yazoo Ave Ste 228-229
Clarksdale, MS 38614-4310
Phone (662) 588-4180

National Provider Directory

National Provider Directory

Locations

110 Yazoo Ave
Ste 228229
Clarksdale, MS 38614
Phone (662) 588-4180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1891655106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 YAZOO AVE STE 228-229",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144310",
            "telephone_number": "662-588-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YAZOO AVE STE 228-229",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144310",
            "telephone_number": "662-588-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS WELLNESS AND BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "OQUANDRYIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-588-4180",
        "authorized_official_credential": "LCSW, DHA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.