Grace Therapy LLC

NPI #1174472005 in Nettleton, Mississippi

Provider Information

NPI Number
1174472005
Entity Type
Organization
Organization Name
Grace Therapy LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jan 23, 2026
Last Updated
Jan 23, 2026

Practice Location

Address
172 YOUNG AVE
ZIP Code
38858-6010
Phone
(662) 591-1030

Authorized Official

Name
DEBORRA CASSANDRA RIKARD, LPC
Title
OWNER
Phone
(662) 591-1030

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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