Healthcare Provider Details

I. General information

NPI: 1427964576
Provider Name (Legal Business Name): DIGNITAS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 JENSEN GROVE CT
FUQUAY VARINA NC
27526-5479
US

IV. Provider business mailing address

PO BOX 452
FUQUAY VARINA NC
27526-0179
US

V. Phone/Fax

Practice location:
  • Phone: 910-381-3465
  • Fax: 919-827-8544
Mailing address:
  • Phone: 910-381-3465
  • Fax: 919-827-8544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LYNN BOCK
Title or Position: OWNER, THERAPIST
Credential: LCMHCA
Phone: 910-381-3465