| Grace Therapy Llc | |
|
172 Young Ave Nettleton MS 38858-6010 | |
| (662) 591-1030 | |
| Not Available |
| Full Name | Grace Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 172 Young Ave, Nettleton, Mississippi |
| Authorized Official Name and Position | Deborra Cassandra Rikard (OWNER) |
| Authorized Official Contact | 6625911030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Therapy Llc 432 Road 1203 Nettleton MS 38858-8283 Ph: (662) 591-1030 | Grace Therapy Llc 172 Young Ave Nettleton MS 38858-6010 Ph: (662) 591-1030 |
| NPI Number | 1174472005 |
|---|---|
| Provider Enumeration Date | 01/23/2026 |
| Last Update Date | 01/23/2026 |
| Certification Date | 01/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174472005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
The Baulch Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7095 Will Robbins Hwy, Nettleton, MS 38858 Phone: 662-213-5815 |