Grace Therapy LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Nettleton, MS
NPI 1174472005 · NPPES record last updated Jan 23, 2026
Key facts
- NPI
- 1174472005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- GRACE THERAPY LLC
- Practice address
- 172 Young Ave
Nettleton, MS 38858-6010 - Phone
- (662) 591-1030
- NPI assigned
- Jan 23, 2026
- Organization subpart
- No
Authorized official
- Name
- Deborra Cassandra Rikard, LPC
- Title
- Owner
- Phone
- (662) 591-1030
Practitioners 1
-
Deborra Cassandra Rikard, NCC, LPC
National Provider Directory
Locations
172 Young Ave
Nettleton, MS 38858
Phone (662) 591-1030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
172 Young Ave
Nettleton, MS 38858-6010
Mailing address
432 Road 1203
Nettleton, MS 38858-8283
Phone (662) 591-1030
Other providers in Nettleton, MS
- Shelithea Darden
- Katherine Elizabeth Davis
- Evergreen Clini
- Evergreen Family Medical Clinic Inc
- Family Care of Evergreen, LLC
- Adam Mitchell Guntharp
- John T Hall
- Bill Randle Hester
- Home Town Market Inc.
- James Andrew Jackson
All providers in Nettleton, MS · Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.