Organization
GRACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORRA CASSANDRA RIKARD LPC (OWNER)
(662) 591-1030
Entity
Organization
Contact information
Practice address
172 YOUNG AVE, NETTLETON, MS 38858-6010
(662) 591-1030
Mailing address
432 ROAD 1203, NETTLETON, MS 38858-8283
(662) 591-1030
(662) 591-1030
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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