Ignite Clinical Wellness Group - Mental Health Clinic in Olive Branch, MS

Ignite Clinical Wellness Group is a mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Olive Branch, Mississippi. The current practice location for Ignite Clinical Wellness Group is 5600 Goodman Rd Ste G, Olive Branch, Mississippi. For appointments, you can reach them via phone at (662) 985-4101. The mailing address for Ignite Clinical Wellness Group is 5600 Goodman Rd Ste G, Olive Branch, Mississippi and phone number is (662) 985-4101.

Ignite Clinical Wellness Group is licensed to practice in * (Not Available) (license number ) and its NPI number is 1184305666. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (662) 985-4101.

Contact Information

Ignite Clinical Wellness Group
5600 Goodman Rd Ste G
Olive Branch
MS 38654-7002
(662) 985-4101
(662) 404-7288

Mental Health Clinic Profile

Full NameIgnite Clinical Wellness Group
SpecialityClinic/center - Mental Health (including Community Mental Health Center)
Location5600 Goodman Rd Ste G, Olive Branch, Mississippi
Authorized Official Name and PositionDerrick O Roach (CHIEF OPERATIONS OFFICER)
Authorized Official Contact9018592071
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ignite Clinical Wellness Group
5600 Goodman Rd Ste G
Olive Branch
MS 38654-7002

Ph: (662) 985-4101
Ignite Clinical Wellness Group
5600 Goodman Rd Ste G
Olive Branch
MS 38654-7002

Ph: (662) 985-4101

NPI Details:

NPI Number1184305666
Provider Enumeration Date07/27/2023
Last Update Date07/27/2023
Certification Date07/27/2023

Medical Identifiers

Medical identifiers for Ignite Clinical Wellness Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184305666NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

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