Healthcare Provider Details

I. General information

NPI: 1326908435
Provider Name (Legal Business Name): DIGNITY COUNSELING COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 N DURKEE ST
APPLETON WI
54911-5427
US

IV. Provider business mailing address

128 N DURKEE ST
APPLETON WI
54911-5427
US

V. Phone/Fax

Practice location:
  • Phone: 920-920-3880
  • Fax:
Mailing address:
  • Phone: 920-920-3880
  • Fax:

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: JOSEPH PULLEN
Title or Position: OWNER AND DIRECTOR
Credential:
Phone: 920-920-3880