=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891281069
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PSYCHIATRIC CARE AND CONSULTING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2018
-----------------------------------------------------
Last Update Date | 07/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 812 N CHARLOTTE ST
-----------------------------------------------------
City | DICKSON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37055-1009
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-446-8046
-----------------------------------------------------
Fax | 865-246-2106
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 5777
-----------------------------------------------------
City | MARYVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37802-5777
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-246-2104
-----------------------------------------------------
Fax | 865-246-2106
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KIMBERLY SAVAGE
-----------------------------------------------------
Credential | PMHNP
-----------------------------------------------------
Telephone | 865-246-2104
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------