MEDICARE: ARK CONSULTING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1134943822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARK CONSULTING PLLC

Provider Business Mailing Address
First Line	:	3632 AMBITION RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-9035
Country	:	US
Telephone Number	:	910-408-6824
Fax Number	:

Provider Business Practice Location Address
First Line	:	3632 AMBITION RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-9035
Country	:	US
Telephone Number	:	910-408-6824
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	DESTINI BISHOP-JAMES
Credential	:
Telephone Number	:	910-408-6824

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	03/18/2026

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