Healthcare Provider Details

I. General information

NPI: 1801766829
Provider Name (Legal Business Name): DILLON MENTAL WELLNESS PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 TOWER WAY
ALLARDT TN
38504-5129
US

IV. Provider business mailing address

73 TOWER WAY
ALLARDT TN
38504-5129
US

V. Phone/Fax

Practice location:
  • Phone: 931-879-1555
  • Fax:
Mailing address:
  • Phone: 931-879-1555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TABATHA DILLON
Title or Position: PMHNP
Credential: PMHNP
Phone: 931-879-1555