Organization
IGNITE WELLNESS AT REFINING FIRE RANCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYELLE BRAGWELL (PRACTICE MANAGER)
(256) 856-0603
Entity
Organization
Contact information
Practice address
890 S SKYLINE DRIVE, JASPER, AL 35501
(256) 856-0603
Mailing address
830 S SKYLINE DR, JASPER, AL 35501-7524
(256) 856-0603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264882
BUSINESS LICENSE
AL
Enumeration date
06/05/2026
Last updated
06/05/2026
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