Healthcare Provider Details

I. General information

NPI: 1619775145
Provider Name (Legal Business Name): HALLMARK PSYCHIATRIC CONSULTANTS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

394 WALLACE ROAD STE 304
NASHVILLE TN
37211
US

IV. Provider business mailing address

393 WALLACE RD STE 304A
NASHVILLE TN
37211-4834
US

V. Phone/Fax

Practice location:
  • Phone: 615-567-3489
  • Fax: 833-973-6229
Mailing address:
  • Phone: 629-702-2481
  • Fax: 833-973-6229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY CHUKA EKWO
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 615-630-8575