Genesis Project Family Wellness Center, Inc.

LBN: Genesis Project Family Wellness Center, Inc.
Genesis Project Family Wellness Center, Inc. is an health care organization with primary practice located at 5104 Reagan Dr Ste 5 , Charlotte NC 28206-1392. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rural Health, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Genesis Project Family Wellness Center, Inc. can be contacted via phone (704) 596-0505, or through Black, Trasha J via phone (704) 596-0505.

Contact Information

Primary practice address
5104 Reagan Dr Ste 5 Charlotte NC 28206-1392
Phone: (704) 596-0505
Fax: (704) 596-0507
Website:
Map and Directions
Authorized official contact:
Name: Black, Trasha J PHD LCMHC
Phone: (704) 596-0505

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Family Planning, Non-Surgical 261QF0050X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1841866068
LBN Legal business name Genesis Project Family Wellness Center, Inc.
DBA Doing business as
Authorized official Black, Trasha J PHD LCMHC
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2021
Last updated May 28th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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