=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689589376
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE PINK DOOR WOMEN'S MENTAL HEALTH & WELLNESS, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/17/2026
-----------------------------------------------------
Last Update Date | 08/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1113 MURFREESBORO RD STE 106-119
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37064-1306
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-656-2861
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1113 MURFREESBORO RD STE 106-119
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37064-1306
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ MANAGING MEMBER
-----------------------------------------------------
Name | JAMADRIANE JANAE JOHNSON
-----------------------------------------------------
Credential | PMHNP
-----------------------------------------------------
Telephone | 773-656-2861
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------