# ARK ACADEMY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649866203
- **Authorized official:** STEPHEN EDWARD COLLIER MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (731) 426-3464

## Contact information

- **Practice address:** 106 STONEBRIDGE BLVD, JACKSON, TN 38305-2038
- **Practice address phone:** (731) 300-4275
- **Mailing address:** 106 STONEBRIDGE BLVD, JACKSON, TN 38305-2038
- **Mailing address phone:** (731) 426-3464
- **Mailing address fax:** (731) 664-6141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2020
- **Last updated:** 05/27/2022