institution
Ignite Clinical Wellness Group
Mental Health Clinic/Center (Including Community Mental Health Center) in Olive Branch, Mississippi
NPI 1184305666

Ignite Clinical Wellness Group is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Olive Branch, MS and is specialized in Mental Health (Including Community Mental Health Center). Ignite Clinical Wellness Group practices in Olive Branch, MS. The NPI Number for Ignite Clinical Wellness Group is 1184305666 and holds a License No. (Mississippi).

The current practice location address for Ignite Clinical Wellness Group is 5600 Goodman Rd Ste G, Olive Branch, MS and can be reached out via phone at 662-985-4101 and via fax at 662-404-7288.

Location: 5600 Goodman Rd Ste G, Olive Branch, MS, 38654-7002
institution
Provider Profile Details
NPI Number
1184305666
Provider Name
Ignite Clinical Wellness Group
Credential
Provider Entity Type
Organization
Address
5600 Goodman Rd Ste G, Olive Branch, MS, 38654-7002
Phone Number
662-985-4101
Fax Number
662-404-7288
Provider Enumeration Date
07/27/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5600 Goodman Rd Ste G
City
State
Zip
38654-7002
Phone Number
662-985-4101
Fax Number
662-404-7288
person
Provider Business Mailing Address Details
Address
5600 Goodman Rd Ste G
City
State
Zip
38654-7002
Phone Number
662-985-4101
Fax Number
662-404-7288
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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