MEDICARE: ARK ALLIANCE RECOVERY LLC

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1306634720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARK ALLIANCE RECOVERY LLC

Provider Business Mailing Address
First Line	:	16510 NOTHCHASE DR.
Second Line	:	STE. 134
City	:	HOUSTON
State	:	TX
Zip	:	77060
Country	:	US
Telephone Number	:	346-874-0683
Fax Number	:

Provider Business Practice Location Address
First Line	:	16510 NOTHCHASE DR
Second Line	:	STE. 134
City	:	HOUSTON
State	:	TX
Zip	:	77060
Country	:	US
Telephone Number	:	346-874-0683
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECITIVE OFFICER
Name	:	SHARON DANENE HINDS
Credential	:	LCDC, MSC
Telephone Number	:	346-874-0683

Provider Enumeration Date	:	04/26/2025
Last Update Date	:	12/16/2025

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Directions to “ARK ALLIANCE RECOVERY LLC ” Practice Location

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