{
"Npi": {
"NPI": "1659237196",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ROSE MENTAL WELLNESS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "98 MAYFIELD DR STE C",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SMYRNA",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37167-3035",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "98 MAYFIELD DR STE C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SMYRNA",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37167-3035",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-326-6271",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/29/2025",
"LastUpdateDate": "12/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILLIAMS",
"AuthorizedOfficialFirstName": "SHUNTAE",
"AuthorizedOfficialMiddleName": "LAKAYE",
"AuthorizedOfficialTitle": "PSYCHIATRIC NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSN, APRN, PMHNP-BC",
"AuthorizedOfficialTelephoneNumber": "615-752-1010",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}