Healthcare Provider Details

I. General information

NPI: 1548125040
Provider Name (Legal Business Name): PILLAR HEALTH LIFESTYLE MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 WAKE ROBIN PL
HENDERSONVILLE NC
28739-9340
US

IV. Provider business mailing address

52 WAKE ROBIN PL
HENDERSONVILLE NC
28739-9340
US

V. Phone/Fax

Practice location:
  • Phone: 610-349-4141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CARLA RENALDO
Title or Position: PHYSICIAN
Credential: DO
Phone: 610-349-4141