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Organization
IGNITE COMMUNITY COUNSELING & RESOURCE CENTER
Active
Organization
IGNITE COMMUNITY COUNSELING & RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA LUIS SARMIENTO LMHC (DIRECTOR)
(352) 512-0090
Entity
Organization
Contact information
Practice address
3561 SOUTH PINE AVE, OCALA, FL 34471-6612
(352) 512-0090
(352) 512-0966
Mailing address
3561 SOUTH PINE AVE, OCALA, FL 34471-6612
(352) 512-0090
(352) 512-0966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH 12449
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH 12449
FL
101YM0800X
Mental Health Counselor
Primary
MH 12449
FL
101YP1600X
Pastoral Counselor
MH 12449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019881600
—
FL
Enumeration date
10/31/2016
Last updated
05/29/2020
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