Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ignite Clinical Wellness Group

Organization Mental Health Counselor · NPI 1184305666

Ignite Clinical Wellness Group is a Mental Health Counselor in Olive Branch, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

5600 Goodman Rd Ste G
Olive Branch, MS 38654-7002
Phone: (662) 985-4101
Fax: (662) 404-7288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1184305666
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Roach — Chief Operations Officer · (901) 859-2071
NPI enumeratedJuly 27, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address5600 Goodman Rd Ste G, Olive Branch, MS 38654-7002

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