Provider Demographics
NPI:1558149419
Name:DIGNITY DISABILITY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:DIGNITY DISABILITY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBROSIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CRUMP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-581-1825
Mailing Address - Street 1:6935 ALIANTE PKWY STE 104-172
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-5818
Mailing Address - Country:US
Mailing Address - Phone:702-756-9247
Mailing Address - Fax:
Practice Address - Street 1:8612 MELISSA MEADOWS ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-2074
Practice Address - Country:US
Practice Address - Phone:702-756-9247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty