Ignite Psychotherapy Services | |
5455 Sheridan Rd Ste Ll10 Kenosha WI 53140-3752 | |
(262) 909-0356 | |
(262) 551-3911 |
Full Name | Ignite Psychotherapy Services |
---|---|
Speciality | Community/behavioral Health |
Location | 5455 Sheridan Rd Ste Ll10, Kenosha, Wisconsin |
Authorized Official Name and Position | Kelly Lindenbaum (OWNER) |
Authorized Official Contact | 2629090356 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ignite Psychotherapy Services 5455 Sheridan Rd Ste Ll10 Kenosha WI 53140-3752 Ph: (262) 909-0356 | Ignite Psychotherapy Services 5455 Sheridan Rd Ste Ll10 Kenosha WI 53140-3752 Ph: (262) 909-0356 |
NPI Number | 1265027221 |
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Provider Enumeration Date | 03/02/2021 |
Last Update Date | 03/05/2024 |
Certification Date | 03/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265027221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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