GRACE THERAPY LLC – NPI #1174472005
Clinic/Center

GRACE THERAPY LLC is an AHC clinic located in NETTLETON, MS. NPPES has assigned the NPI number 1174472005 to GRACE THERAPY LLC on January 23, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRACE THERAPY LLC below.

NPI Profile for
GRACE THERAPY LLC

NPI Number
1174472005
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRACE THERAPY LLC
Primary location
172 YOUNG AVE
NETTLETON, MS 38858-6010
Phone: (662) 591-1030 Fax:
Mailing address
432 ROAD 1203
NETTLETON, MS 38858-8283
Phone: (662) 591-1030 Fax: (662) 591-1030
Organization Subpart
No
Authorized Official
DEBORRA RIKARD
OWNER
Phone: (662) 591-1030
Updated
Certification Date
Jan 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.