Individual
GRACE HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
350 SALEM RD STE 9, CONWAY, AR 72034-7521
(501) 336-8300
Mailing address
203B WESTPORT DR, CABOT, AR 72023-3657
(501) 843-9233
(501) 843-9656
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PLMSW
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261708795
—
AR
Enumeration date
02/22/2021
Last updated
06/09/2023
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