Provider Demographics
NPI:1720577927
Name:DIGNITY COUNSELING, LLC
Entity Type:Organization
Organization Name:DIGNITY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BASILOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-935-9828
Mailing Address - Street 1:4025 S MCCLINTOCK DR STE 212
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5878
Mailing Address - Country:US
Mailing Address - Phone:602-935-9828
Mailing Address - Fax:
Practice Address - Street 1:4025 S MCCLINTOCK DR STE 212
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5878
Practice Address - Country:US
Practice Address - Phone:602-935-9828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-03
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMAC509835101YA0400X
AZLPC2117101YP2500X
AZLCSW166281041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty