Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Celestial Provisions: Therapy & Wellness, PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1326950361

Celestial Provisions: Therapy & Wellness, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 S College St Ste 152
Charlotte, NC 28202-1827
Phone: (216) 712-2237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1326950361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tierra Bacon — Mental Health Therapist · (216) 712-2237
NPI enumeratedSeptember 22, 2026
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 19, 2026
Mailing address501 S College St Ste 152, Charlotte, NC 28202-1827

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