Enduring Soul LLC
Clinic/Center, Adult Mental Health in Georgetown, TX. Organization (NPI-2).
NPI number1396632295
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1396632295
- Entity type
- Organization (NPI-2)
- Legal business name
- Enduring Soul LLC
- Organization subpart
- No
- Enumeration date
- Jun 23, 2025
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
2009 Fountainwood DrGeorgetown, TX 78633-1907
Phone 512-630-2022
Mailing address
2009 Fountainwood DrGeorgetown, TX 78633-1907
Phone 512-630-2022
Authorized official
Darian Aviles
President
5236302022
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