MEDICARE: DIGNIFIED COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1689380693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGNIFIED COUNSELING LLC

Provider Business Mailing Address
First Line	:	2000 LEE RD # 518
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2572
Country	:	US
Telephone Number	:	216-390-7537
Fax Number	:

Provider Business Practice Location Address
First Line	:	4405 SILSBY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-3938
Country	:	US
Telephone Number	:	216-390-7537
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BENYAMIN VINEBURG
Credential	:
Telephone Number	:	216-390-7537

Provider Enumeration Date	:	01/24/2023
Last Update Date	:	01/24/2023

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Directions to “DIGNIFIED COUNSELING LLC ” Practice Location

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