Provider Type Icon

GROUNDWATER SOLUTIONS INC. NPI 1013532456


NPI Information

NPI: 1013532456
Provider Name: GROUNDWATER SOLUTIONS, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5104 REAGAN DR STE 5
CHARLOTTE, NC
ZIP 28206
Phone: (704) 596-0505
Get Directions

GROUNDWATER SOLUTIONS, INC. is a community behavioral health in Charlotte, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GROUNDWATER SOLUTIONS, INC. NPI is 1013532456. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5104 REAGAN DR STE 5
CHARLOTTE, NC
ZIP 28206-392
Phone: (704) 596-0505
Fax: (704) 596-0507

The provider's authorized official is Trasha Black .
The authorized official title is President and has the following contact phone number (704) 596-0505.

The enumeration date for this NPI number is 6/11/2020 and was last updated on 6/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3177F00000XLodgingNo
4251B00000XCase ManagementNo
5251V00000XVoluntary or CharitableNo
6261QC1500XClinic/CenterCommunity HealthNo
7261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
8261QP2300XClinic/CenterPrimary CareNo
9261QR0800XClinic/CenterRecovery CareNo
10282J00000XReligious Nonmedical Health Care InstitutionNo
11347E00000XTransportation BrokerNo
12251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.