Provider Demographics
NPI:1043822737
Name:GRAVES, ARCHITA LAVONDA (LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:ARCHITA
Middle Name:LAVONDA
Last Name:GRAVES
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5624 STONEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-7561
Mailing Address - Country:US
Mailing Address - Phone:910-849-6270
Mailing Address - Fax:
Practice Address - Street 1:936 NORTHBROOK DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5518
Practice Address - Country:US
Practice Address - Phone:919-396-4614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-23
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0149291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical