Healthcare Provider Details

I. General information

NPI: 1881505360
Provider Name (Legal Business Name): GRACE AND MERCY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 W MARKHAM ST STE 318
LITTLE ROCK AR
72205-2195
US

IV. Provider business mailing address

10201 W MARKHAM ST STE 318
LITTLE ROCK AR
72205-2195
US

V. Phone/Fax

Practice location:
  • Phone: 501-612-3393
  • Fax: 501-246-8574
Mailing address:
  • Phone: 501-612-3393
  • Fax: 501-246-8574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KESHA MATHEWS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 501-612-3393