Bold Ark LLC
Bold Ark LLC is a healthcare organization registered as Psychiatric/Mental Health Nurse Practitioner in Loganville, GA, holding Type 2 (organization) NPI 1740079623 since 2025. The authorized official on file is Olufunke Adewunmi, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1740079623 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bold Ark LLC |
| Practice address | 3905 HARRISON RD STE 500, Loganville, GA, 30052 |
| Phone | 6788981927 |
| Fax | 6787988880 |
| Enumeration date | 2025-05-06 |
| Last updated in NPPES | 2026-03-27 |
Authorized official
| Name | Olufunke Adewunmi |
|---|---|
| Title | Ceo |
| Phone | 6788981927 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Primary | — | — |
Copy-ready billing details
Provider: Bold Ark LLC NPI: 1740079623 Taxonomy: 363LP0808X (Psychiatric/Mental Health Nurse Practitioner) Address: 3905 HARRISON RD STE 500, Loganville, GA, 30052
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598231458 | Natasha Giles | Individual | Psychiatric/Mental Health Nurse Practitioner | Loganville, GA |
| 1548966153 | Gifted Hands Midwifery | Organization | Advanced Practice Midwife | Loganville, GA |
Verify this record
Cross-check NPI 1740079623 against the authoritative CMS record: view Bold Ark LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Bold Ark LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-27.