Healthcare Provider Details

I. General information

NPI: 1033883434
Provider Name (Legal Business Name): GRACEN HELLUMS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 W SAINT LOUIS ST
HOT SPRINGS AR
71913-4406
US

IV. Provider business mailing address

829 HALBERT ST
MALVERN AR
72104-2607
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-8200
  • Fax: 501-321-8201
Mailing address:
  • Phone: 501-332-4400
  • Fax: 501-332-4403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP2607007
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: