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IGNITE CLINICAL WELLNESS GROUP
NPI 1184305666
Clinic/Center - Mental Health (Including Community Mental Health Center) in Olive Branch, MS

Active since July 27, 2023
5600 GOODMAN RD STE G, OLIVE BRANCH, MS 38654(662) 985-4101(662) 404-7288 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ignite Clinical Wellness Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IGNITE CLINICAL WELLNESS GROUP (NPI 1184305666) is a healthcare organization registered as a mental health (including community mental health center) in Olive Branch, Mississippi and active in the NPI registry since July 2023. The organization lists Derrick O Roach, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1184305666
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIGNITE CLINICAL WELLNESS GROUP
Location Address5600 GOODMAN RD STE GOlive Branch, MS 38654-7002
Mailing Address5600 Goodman Rd Ste GOlive Branch, MS 38654-7002 · (662) 985-4101 · Fax (662) 404-7288
Phone(662) 985-4101
Fax(662) 404-7288
Organization SubpartNo
Authorized OfficialDerrick O RoachChief Operations Officer · (901) 859-2071
Enumeration DateJuly 27, 2023
NPPES CertifiedJuly 27, 2023
✔ NPI 1184305666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
5600 GOODMAN RD STE G, Olive Branch, MS 38654
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FINDING YOUR TRUTH COUNSELING SERVICES
Counselor (Mental Health)
5600 GOODMAN RD STE G
OLIVE BRANCH, MS 38654
Desoto County (662) 832-0887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ignite Clinical Wellness Group's NPI number?

The NPI number for Ignite Clinical Wellness Group is 1184305666. It was assigned to this organization in the NPPES registry on July 27, 2023.

Where is Ignite Clinical Wellness Group located?

Ignite Clinical Wellness Group is located at 5600 Goodman Rd Ste G, Olive Branch, MS 38654. The listed phone number is (662) 985-4101.

What is Ignite Clinical Wellness Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Ignite Clinical Wellness Group was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.