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Organization
IGNITE PSYCHOTHERAPY SERVICES LLC
Active
Organization
IGNITE PSYCHOTHERAPY SERVICES LLC
Active
Other names
Ignite Psychotherapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY LINDENBAUM LCSW (OWNER)
(262) 909-0356
Entity
Organization
Contact information
Practice address
5455 SHERIDAN RD STE LL10, KENOSHA, WI 53140-3752
(262) 909-0356
(262) 551-3911
Mailing address
5455 SHERIDAN RD STE LL10, KENOSHA, WI 53140-3752
(262) 909-0356
(262) 551-3911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
02/02/2026
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