Celestial Provisions: Therapy & Wellness, PLLC

Primary specialty

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

Legal business name

CELESTIAL PROVISIONS: THERAPY & WELLNESS, PLLC

Practice address

501 S College St Ste 152
Charlotte, NC 28202-1827

Phone

(216) 712-2237

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tierra Danielle Bacon, LCSWNPI 1629625710

Title

Mental Health Therapist

Phone

(216) 712-2237

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tierra Bacon, SWT BA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1629625710
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1326950361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S COLLEGE ST STE 152",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S COLLEGE ST STE 152",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021827",
            "telephone_number": "216-712-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIAL PROVISIONS: THERAPY & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-19",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "TIERRA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "216-712-2237",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cel O.D. PLLC
• Cel O.D. PLLC
• Melissa J Celaya
• Celeste Brain Health PLLC (Celeste Neurology)
• Jennifer Celeste, MA
• Celligent Diagnostics, LLC
• Celligent Diagnostics, LLC
• Zachary Cenfetelli, PHARMD
• Center for Cosmetic & Plastic Surgery
• Center for Counseling & Rehabilitation Services, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.