Healthcare Provider Details

I. General information

NPI: 1689589376
Provider Name (Legal Business Name): THE PINK DOOR WOMEN'S MENTAL HEALTH & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 MURFREESBORO RD STE 106-119
FRANKLIN TN
37064-1306
US

IV. Provider business mailing address

1113 MURFREESBORO RD STE 106-119
FRANKLIN TN
37064-1306
US

V. Phone/Fax

Practice location:
  • Phone: 773-656-2861
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JAMADRIANE JANAE JOHNSON
Title or Position: OWNER/ MANAGING MEMBER
Credential: PMHNP
Phone: 773-656-2861