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Organization
GENESIS PROJECT 1, INC
Active
Organization
GENESIS PROJECT 1, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIA L. GRIER MSO (MANAGER)
(704) 596-0505
Entity
Organization
Contact information
Practice address
5104 REAGAN DR STE 5, CHARLOTTE, NC 28206-1392
(704) 596-0505
Mailing address
PO BOX 560723, CHARLOTTE, NC 28256-0723
(704) 596-0505
(704) 596-0507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/05/2007
Last updated
08/27/2020
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