Ark Academy, Llc | |
106 Stonebridge Blvd Jackson TN 38305-2038 | |
(731) 300-4275 | |
Not Available |
Full Name | Ark Academy, Llc |
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Speciality | Psychologist - Clinical Child & Adolescent |
Location | 106 Stonebridge Blvd, Jackson, Tennessee |
Authorized Official Name and Position | Stephen Edward Collier (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7314263464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ark Academy, Llc 106 Stonebridge Blvd Jackson TN 38305-2038 Ph: (731) 426-3464 | Ark Academy, Llc 106 Stonebridge Blvd Jackson TN 38305-2038 Ph: (731) 300-4275 |
NPI Number | 1649866203 |
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Provider Enumeration Date | 12/17/2020 |
Last Update Date | 05/27/2022 |
Certification Date | 05/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649866203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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