Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genext Life LLC

Organization Community/Behavioral Health Agency · NPI 1295513299

Genext Life LLC is a Community/Behavioral Health Agency in Charlotte, North Carolina. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

225 Sandy Ave
Charlotte, NC 28213-5659
Phone: (980) 705-1190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 113 Vaquaro Dr, Mooresville, NC 28115-0236 — (980) 705-1190

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X

Record details

NPI number1295513299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ecaroh Jackson — Managing Member · (404) 642-4493
NPI enumeratedSeptember 20, 2023
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address1235 East Blvd Ste E, Charlotte, NC 28203-5876

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