# DIGNITY LIFE COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043989478
- **Authorized official:** DEREK RAY GONZALEZ LPC (OWNER)
- **Authorized official phone:** (623) 734-2224

## Contact information

- **Practice address:** 21397 W TERRI LEE DR, BUCKEYE, AZ 85396-2457
- **Practice address phone:** (623) 734-2224
- **Mailing address:** 21397 W TERRI LEE DR, BUCKEYE, AZ 85396-2457
- **Mailing address phone:** (623) 734-2224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/09/2021
