The Wellness Space

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

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

Oct 15, 2025

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, FNP/PMHNP-BC

Title

Ceo

Phone

(901) 450-3995

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
  • NPI 1194695452
  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
  Medicare reassignment Care Compare group NPD
• Chante Smith Fason, FNP, APRN, PMHNP

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

  Family

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1346116308",
    "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": "2025-10-15",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "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, FNP/PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• The West Clinic, PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.