Organization
GROUNDWATER SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRASHA BLACK PHD LCMHC (PRESIDENT)
(704) 596-0505
Entity
Organization
Contact information
Practice address
5104 REAGAN DR STE 5, CHARLOTTE, NC 28206-1392
(704) 596-0505
(704) 596-0507
Mailing address
5104 REAGAN DR STE 5, CHARLOTTE, NC 28206-1392
(704) 596-0505
(704) 596-0507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
06/11/2020
Last updated
11/27/2023
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