Organization · NPI-2
A Beautiful Soul LLC
Case Management · Burleson, TX
NPI number1265378780
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1265378780
- Entity type
- Organization (NPI-2)
- Legal business name
- A Beautiful Soul LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2026
- Certification date
- Apr 22, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 163WC0400X | Registered Nurse, Case Management | – | – | |
| 163WC1500X | Registered Nurse, Community Health | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 251300000X | Local Education Agency (LEA) | – | – |
Practice location
1300 Foxglove LnBurleson, TX 76028-2737
Phone 901-608-1966 · Fax 901-608-1966
Mailing address
1300 Foxglove LnBurleson, TX 76028-2737
Phone 901-608-1966 · Fax 901-608-1966
Authorized official
Daniell Ryan Ector
Registered Nurse
9016081966
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