Organization
ARK ACADEMY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN EDWARD COLLIER MD (AUTHORIZED OFFICIAL)
(731) 426-3464
Entity
Organization
Contact information
Practice address
106 STONEBRIDGE BLVD, JACKSON, TN 38305-2038
(731) 300-4275
Mailing address
106 STONEBRIDGE BLVD, JACKSON, TN 38305-2038
(731) 426-3464
(731) 664-6141
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
05/27/2022
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