Provider Demographics
NPI:1689380693
Name:DIGNIFIED COUNSELING LLC
Entity Type:Organization
Organization Name:DIGNIFIED COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENYAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VINEBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-390-7537
Mailing Address - Street 1:2000 LEE RD # 518
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2572
Mailing Address - Country:US
Mailing Address - Phone:216-390-7537
Mailing Address - Fax:
Practice Address - Street 1:4405 SILSBY RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-3938
Practice Address - Country:US
Practice Address - Phone:216-390-7537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty