Organization
GRACIOUS INTERVENTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEY FARMER (CHIEF EXECUTIVE OFFICER)
(919) 943-1868
Entity
Organization
Contact information
Practice address
2219 CELIA AVE, CHARLOTTE, NC 28216-4551
(919) 943-1868
Mailing address
9336 KINGS PARADE BLVD APT 3138, CHARLOTTE, NC 28273-5856
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/28/2022
Last updated
07/09/2025
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