MEDICARE: HEARTHSTONE PSYCHIATRY & WELLNESS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1073479796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTHSTONE PSYCHIATRY & WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	1907 N ROAN ST STE 409
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-3177
Country	:	US
Telephone Number	:	423-430-9681
Fax Number	:	423-430-8439

Provider Business Practice Location Address
First Line	:	1907 N ROAN ST STE 409
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-3177
Country	:	US
Telephone Number	:	423-430-9681
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PRESTON F HELMLY
Credential	:	MD
Telephone Number	:	423-430-9681

Provider Enumeration Date	:	12/26/2025
Last Update Date	:	05/18/2026

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