MEDICARE: PILLAR PSYCHIATRIC SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1831984392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PILLAR PSYCHIATRIC SERVICES

Provider Business Mailing Address
First Line	:	100 POWELL PL # 1377
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 DR WALTER S DAVIS BLVD APT 6509
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-3341
Country	:	US
Telephone Number	:	601-818-8847
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHELBY L. HUSBAND JR.
Credential	:	NP
Telephone Number	:	601-818-8847

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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