Individual
GRACIE MAE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 OUACHITA 67, CAMDEN, AR 71701-8812
(870) 833-6166
Mailing address
1919 OUACHITA 67, CAMDEN, AR 71701-8812
(870) 833-6166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2606005
AR
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/25/2023
Last updated
06/22/2026
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