Grace Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRACE BEHAVIORAL HEALTH LLC

Practice address

1830 Macmillan Park Dr Ste 111
Fort Mill, SC 29707-7712

Phone

(803) 701-9919

NPI assigned

Sep 21, 2026

Last updated

Sep 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raquel Smith, DBA,MS

Title

Ceo

Phone

(704) 261-5185

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1619889011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MACMILLAN PARK DR STE 111",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077712",
            "telephone_number": "803-701-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 MACMILLAN PARK DR STE 111",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077712",
            "telephone_number": "803-701-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-261-5185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBA,MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lance M Gowen, M.D.
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• Ebony Gray, BSW
• Kimberly Gray, RN

• Community/Behavioral Health Agency in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.