The Wellness Space

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THE WELLNESS SPACE

Practice address

1331 Union Ave Ste 1152
Memphis, TN 38104-7509

Phone

(901) 450-3995

Fax

(901) 450-3995

NPI assigned

Nov 10, 2025

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chante Smith-Fason, DNP

Title

Ceo

Phone

(901) 450-3995

Specialties & licenses 3

Addresses

Tax ID family

The Wellness Space2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Wellness Space

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Memphis, TN
  • NPI 1346116308
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pretia Alonna Carpenter

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
  • NPI 1386479665
  NPD
• Chante Smith Fason, FNP, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
  • NPI 1902966765

  Family

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1194695452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 PARK AVE # 171432",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195134",
            "telephone_number": "901-450-3995",
            "fax_number": "901-450-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1152",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047509",
            "telephone_number": "901-450-3995",
            "fax_number": "901-450-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "SMITH-FASON",
        "authorized_official_first_name": "CHANTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-450-3995",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The University of Memphis (Memphis Community Health Clinic)
• The University of Tennessee
• The Vein Center
• The Village Community Development Center LLC
• The Way Advancement Services
• The Wellness Space
• The West Clinic P.C.
• The West Clinic P.C.
• The West Clinic P.C.
• The West Clinic, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.