Healthcare Provider Details

I. General information

NPI: 1740812635
Provider Name (Legal Business Name): HOPE-IGNITECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 MEDICAL CENTER DR STE 270
UPPER MARLBORO MD
20774-3709
US

IV. Provider business mailing address

2905 DUSTYWOOD DR
MCKINNEY TX
75071-6783
US

V. Phone/Fax

Practice location:
  • Phone: 214-477-8167
  • Fax:
Mailing address:
  • Phone: 214-477-8167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: IFEOMA IROKWE
Title or Position: NP
Credential: PMHNP
Phone: 214-477-8167