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

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1063984219

Ignite Teen Treatment, LLC is an Adolescent and Children Mental Health Clinic/Center in Las Vegas, Nevada. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3621 Bahama Bay Ct
Las Vegas, NV 89147-6800
Phone: (310) 721-6447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1063984219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Bond — Cfo · (570) 203-9222
Other names Ignite Teen Treatment; Ignite Teen Treatment
NPI enumeratedDecember 28, 2018
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address512 Northampton St # 158, Edwardsville, PA 18704-4560

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