| Ignite Therapy Llc | |
|
535 W Butler Rd Ste C Greenville SC 29607-4833 | |
| (864) 660-3616 | |
| Not Available |
| Full Name | Ignite Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 535 W Butler Rd Ste C, Greenville, South Carolina |
| Authorized Official Name and Position | Jacquelynn Mueller (OWNER/THERAPIST) |
| Authorized Official Contact | 8646603616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignite Therapy Llc 535 W Butler Rd Ste C Greenville SC 29607-4833 Ph: (864) 660-3616 | Ignite Therapy Llc 535 W Butler Rd Ste C Greenville SC 29607-4833 Ph: (864) 660-3616 |
| NPI Number | 1679228456 |
|---|---|
| Provider Enumeration Date | 02/19/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679228456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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