Provider Demographics
NPI:1376416370
Name:IGNITE ALLIANCE GROUP
Entity type:Organization
Organization Name:IGNITE ALLIANCE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:
Authorized Official - Last Name:MBUVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-352-7434
Mailing Address - Street 1:3408 COTTON MILL RD
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-3326
Mailing Address - Country:US
Mailing Address - Phone:469-352-7434
Mailing Address - Fax:
Practice Address - Street 1:3408 COTTON MILL RD
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-3326
Practice Address - Country:US
Practice Address - Phone:469-352-7434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty