| Enduring Soul Llc | |
|
2009 Fountainwood Dr Georgetown TX 78633-1907 | |
| (512) 630-2022 | |
| Not Available |
| Full Name | Enduring Soul Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2009 Fountainwood Dr, Georgetown, Texas |
| Authorized Official Name and Position | Darian Aviles (PRESIDENT) |
| Authorized Official Contact | 5236302022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enduring Soul Llc 2009 Fountainwood Dr Georgetown TX 78633-1907 Ph: (512) 630-2022 | Enduring Soul Llc 2009 Fountainwood Dr Georgetown TX 78633-1907 Ph: (512) 630-2022 |
| NPI Number | 1396632295 |
|---|---|
| Provider Enumeration Date | 06/23/2025 |
| Last Update Date | 08/12/2025 |
| Certification Date | 08/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396632295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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