Healthcare Provider Details

I. General information

NPI: 1962328013
Provider Name (Legal Business Name): ONE YOU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4543 THE PLZ
CHARLOTTE NC
28215-2053
US

IV. Provider business mailing address

8031 PIKE RD APT 1014
CHARLOTTE NC
28262-3853
US

V. Phone/Fax

Practice location:
  • Phone: 704-213-6154
  • Fax:
Mailing address:
  • Phone: 704-213-6154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: JASMINE BETHEA
Title or Position: MANAGER
Credential: MA
Phone: 704-213-6154