# GRACIOUS INTERVENTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013663020
- **Authorized official:** CHELSEY FARMER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 943-1868

## Contact information

- **Practice address:** 2219 CELIA AVE, CHARLOTTE, NC 28216-4551
- **Practice address phone:** (919) 943-1868
- **Mailing address:** 9336 KINGS PARADE BLVD APT 3138, CHARLOTTE, NC 28273-5856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 02/28/2022
- **Last updated:** 07/09/2025