Organization Active NPI

Brentwood Wellness Recovery and Detox Dba Nashville Wellness Recovery and Detox

  • Substance Abuse Rehabilitation Facility
  • Brentwood, TN
National Provider Identifier
1790672475
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BRENTWOOD WELLNESS RECOVERY AND DETOX DBA NASHVILLE WELLNESS RECOVERY AND DETOX
Practice address
1668 Mallory LN
Brentwood, TN 37027-7930
Phone
(949) 735-1576
NPI assigned
Jun 23, 2025
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Derek Walsh
Title
Board Member
Phone
(615) 496-4097

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1668 Mallory LN
Brentwood, TN 37027-7930

Mailing address

1668 Mallory LN
Brentwood, TN 37027-7930
Phone (949) 735-1576

National Provider Directory

National Provider Directory

Locations

1668 Mallory Ln
Brentwood, TN 37027
Phone (949) 735-1576

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1790672475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 MALLORY LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277930",
            "telephone_number": "949-735-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 MALLORY LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277930",
            "telephone_number": "949-735-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD WELLNESS RECOVERY AND DETOX DBA NASHVILLE WELLNESS RECOVERY AND DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "615-496-4097"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.