Organization Active NPI

Grace Place Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
National Provider Identifier
1003579947
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GRACE PLACE THERAPY LLC
Practice address
2020 W 3Rd St Ste 612
Little Rock, AR 72205-4467
Phone
(501) 551-0268
Fax
(949) 862-5322
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharita Bilson, LPCNPI 1881147122
Title
Owner
Phone
(501) 551-0268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2020 W 3Rd St Ste 612
Little Rock, AR 72205-4467

Mailing address

2020 W 3Rd St Ste 612
Little Rock, AR 72205-4467
Phone (501) 551-0268

National Provider Directory

National Provider Directory

Locations

2020 W 3rd St
Ste 612
Little Rock, AR 72205
Phone (501) 551-0268

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1003579947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W 3RD ST STE 612",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054467",
            "telephone_number": "501-551-0268",
            "fax_number": "949-862-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W 3RD ST STE 612",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054467",
            "telephone_number": "501-551-0268",
            "fax_number": "949-862-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PLACE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "BILSON",
        "authorized_official_first_name": "SHARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-551-0268",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.