Genesis Project Family Wellness Center, Inc
Genesis Project Family Wellness Center, Inc provides Family Medicine Physician services in Charlotte, North Carolina. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 15
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5104 Reagan Dr Ste 5Charlotte, NC 28206-1392
Phone: (704) 596-0505
Fax: (704) 596-0507
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Clinic/Center (primary) | Taxonomy 261QC1500X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Case Management Agency | Taxonomy 251B00000X |
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Voluntary or Charitable Agency | Taxonomy 251V00000X |
| Clinic/Center | Taxonomy 261Q00000X |
| Non-Surgical Family Planning Clinic/Center | Taxonomy 261QF0050X |
| Health Service Clinic/Center | Taxonomy 261QH0100X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | Taxonomy 261QR0401X |
| Rural Health Clinic/Center | Taxonomy 261QR1300X |
| Urgent Care Clinic/Center | Taxonomy 261QU0200X |
Record details
| NPI number | 1841866068 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Trasha Black — Executive Director · (704) 596-0505 |
| NPI enumerated | May 28, 2021 |
| Last updated in NPPES | May 28, 2021 |
| Certification date | May 28, 2021 |
| Mailing address | 5104 Reagan Dr Ste 5, Charlotte, NC 28206-1392 |
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