| Ignite Adventures Llc | |
|
1306 Baronets Trl Austin TX 78753-6899 | |
| (512) 607-7897 | |
| Not Available |
| Full Name | Ignite Adventures Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1306 Baronets Trl, Austin, Texas |
| Authorized Official Name and Position | Adrienne Joy Clements (OWNER) |
| Authorized Official Contact | 5126077897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignite Adventures Llc 5617 Adams Ave Austin TX 78756-1102 Ph: (512) 607-7897 | Ignite Adventures Llc 1306 Baronets Trl Austin TX 78753-6899 Ph: (512) 607-7897 |
| NPI Number | 1043962111 |
|---|---|
| Provider Enumeration Date | 01/20/2022 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043962111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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