| Grace Place Therapy Llc | |
|
2020 W 3rd St Ste 612 Little Rock AR 72205-4467 | |
| (501) 551-0268 | |
| (949) 862-5322 |
| Full Name | Grace Place Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2020 W 3rd St Ste 612, Little Rock, Arkansas |
| Authorized Official Name and Position | Sharita Bilson (OWNER) |
| Authorized Official Contact | 5015510268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Place Therapy Llc 2020 W 3rd St Ste 612 Little Rock AR 72205-4467 Ph: (501) 551-0268 | Grace Place Therapy Llc 2020 W 3rd St Ste 612 Little Rock AR 72205-4467 Ph: (501) 551-0268 |
| NPI Number | 1003579947 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003579947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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