JEM BEHAVIORAL HEALTH PLLC NPI 1659940823

NPI Information

NPI: 1659940823
Provider Name: JEM BEHAVIORAL HEALTH PLLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Doing Business As: VANESSA GRAHAM NP
Address: 5960 FAIRVIEW RD STE 400
CHARLOTTE, NC
ZIP 28210
Phone: (704) 267-6905

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NPI Details

JEM BEHAVIORAL HEALTH PLLC 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. JEM BEHAVIORAL HEALTH PLLC NPI is 1659940823. The provider is registered as an organization entity type.
The provider Is Doing Business As Vanessa Graham Np.

The provider's business location address is:

5960 FAIRVIEW RD STE 400
CHARLOTTE, NC
ZIP 28210-119
Phone: (704) 267-6905

The provider's authorized official is Vanessa Graham .
The authorized official title is Owner and has the following contact phone number (980) 483-3015.

The enumeration date for this NPI number is 6/22/2021 and was last updated on 7/18/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
2	363L00000X	Nurse Practitioner		No
3	261QH0100X	Clinic/Center	Health Service	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
5	261QM0850X	Clinic/Center	Adult Mental Health	No
6	251S00000X	Community/Behavioral Health		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1336693266	MEDICAID	NORTH CAROLINA

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: 3/30/2025

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