GENESIS PROJECT FAMILY WELLNESS CENTER, INC.
NPI 1841866068
Clinic/Center - Community Health in Charlotte, NC

Active since May 28, 2021
5104 REAGAN DR STE 5, CHARLOTTE, NC 28206(704) 596-0505(704) 596-0507 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Genesis Project Family Wellness Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS PROJECT FAMILY WELLNESS CENTER, INC. (NPI 1841866068) is a healthcare organization registered as a community health in Charlotte, North Carolina and active in the NPI registry since May 2021. The organization lists Trasha J Black, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1841866068
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameGENESIS PROJECT FAMILY WELLNESS CENTER, INC.
Location Address5104 REAGAN DR STE 5Charlotte, NC 28206-1392
Mailing Address5104 Reagan Dr Ste 5Charlotte, NC 28206-1392 · (704) 596-0505 · Fax (704) 596-0507
Fax(704) 596-0507
Organization SubpartNo
Authorized OfficialTrasha J BlackExecutive Director · (704) 596-0505
Enumeration DateMay 28, 2021
NPPES CertifiedMay 28, 2021
NPI 1841866068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
5104 REAGAN DR STE 5, Charlotte, NC 28206

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
5104 REAGAN DR STE 5
CHARLOTTE, NC 28206
Counselor (Addiction (Substance Use Disorder))
5104 REAGAN DR STE 5
CHARLOTTE, NC 28206
Counselor (Mental Health)
5104 REAGAN DR STE 5
CHARLOTTE, NC 28206
Peer Specialist
5104 REAGAN DR STE 5
CHARLOTTE, NC 28206
Counselor (Mental Health)
5104 REAGAN DR STE 5
CHARLOTTE, NC 28206
Counselor (Mental Health)
5104 REAGAN DR STE 5
CHARLOTTE, NC 28206
Social Worker (Clinical)
5104 REAGAN DR STE 5
CHARLOTTE, NC 28206
Counselor (Professional)
5104 REAGAN DR STE 5
CHARLOTTE, NC 28206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Project Family Wellness Center, Inc.'s NPI number?

The NPI number for Genesis Project Family Wellness Center, Inc. is 1841866068. It was assigned to this organization in the NPPES registry on May 28, 2021.

Where is Genesis Project Family Wellness Center, Inc. located?

Genesis Project Family Wellness Center, Inc. is located at 5104 Reagan Dr Ste 5, Charlotte, NC 28206. The listed phone number is (704) 596-0505.

What is Genesis Project Family Wellness Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Genesis Project Family Wellness Center, Inc. was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.