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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