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General NPI Number Information
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NPI Number | 1659237196
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Entity Type | Organization
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Legal Business Name | ROSE MENTAL WELLNESS
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 98 MAYFIELD DR STE C
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City | SMYRNA
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State | TN
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Zip | 37167-3035
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Country | US
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Telephone | 615-326-6271
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Fax |
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Provider Business Mailing Address
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Address Line | 98 MAYFIELD DR STE C
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City | SMYRNA
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State | TN
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Zip | 37167-3035
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | SHUNTAE LAKAYE WILLIAMS
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Credential | MSN, APRN, PMHNP-BC
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Telephone | 615-752-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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