Provider Demographics
NPI:1487373411
Name:DIGNIFIED COUNSELING CLEVELAND LLC
Entity type:Organization
Organization Name:DIGNIFIED COUNSELING CLEVELAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VINEBURG
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:201-741-0232
Mailing Address - Street 1:4405 SILSBY RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3938
Mailing Address - Country:US
Mailing Address - Phone:201-741-0232
Mailing Address - Fax:
Practice Address - Street 1:4405 SILSBY RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3938
Practice Address - Country:US
Practice Address - Phone:201-741-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty