Healthcare Provider Details

I. General information

NPI: 1982444303
Provider Name (Legal Business Name): PILLARS HEALTH CARE PROFESSIONALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2024
Last Update Date: 09/02/2025
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1572 SW GLENDALE DR
TOPEKA KS
66604-2270
US

IV. Provider business mailing address

1572 SW GLENDALE DR
TOPEKA KS
66604-2270
US

V. Phone/Fax

Practice location:
  • Phone: 785-969-2599
  • Fax:
Mailing address:
  • Phone: 785-969-2599
  • Fax: 785-215-6079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JULIE ANN GONZALES
Title or Position: OWNER
Credential: APRN
Phone: 785-969-2599