About Heather Spengler, PMHNP
I provide telehealth psychiatry through Pillar Psychiatry for adults in Texas and New Mexico.
Heather created her cash-based, fully virtual practice so that appointments could be guided by clinical need instead of a strict clock. Her care focuses on clear communication, thoughtful medication management, and treating every person as an individual, never a number.
Certifications
- DEA Registration for Prescribing Controlled Substances
- New Mexico Medical License #90139
- Texas Medical License # 1107529, 1107529
Unrushed Care
Experience
Access
Hospice Experience That Shapes Care
I spent 16 years in hospice, supporting patients and families through serious illness, complex medications, and intense emotions. That experience trained me to listen carefully, explain clearly, and stay steady in difficult moments, which now guides how I approach every psychiatric evaluation and follow-up visit.
Working Comfortably With Complex Histories
My work in corrections and a medication-assisted-treatment clinic gave me practical experience with trauma, stigma, and substance use. I understand that many adults have complicated stories, and I aim to create a nonjudgmental space where you can talk openly about incarceration, addiction, or past treatment without feeling dismissed.
What You Can Expect
In my virtual practice, appointments happen through secure, HIPAA-compliant video, with evening and Saturday options to fit into real lives. I focus on clear explanations, shared decisions about medications, and realistic next steps, so you leave each visit understanding your plan and feeling supported in moving forward.