Healthcare Provider Details

I. General information

NPI: 1194676759
Provider Name (Legal Business Name): GUIDED GRACE COMPANIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 MEMORIAL DR STE 138
STONE MOUNTAIN GA
30083-3155
US

IV. Provider business mailing address

5300 MEMORIAL DR STE 138
STONE MOUNTAIN GA
30083-3155
US

V. Phone/Fax

Practice location:
  • Phone: 470-240-0666
  • Fax:
Mailing address:
  • Phone: 470-240-0666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ARKISHYA STEPHENS
Title or Position: CEO/ADMIN
Credential:
Phone: 773-837-2133