P Praxis·MD
● Active Type 2 · Organization

Epiphany Soul

Residential Treatment Facility, Emotionally Disturbed Children·Waco, TX· NPI 1669349148 · Enumerated 2025 · 0 years on NPI
Epiphany Soul is 1 of 94 residential treatment facility, emotionally disturbed children organizations in Texas.
NPI age
— years
Enumerated 2025-10-20
Primary specialty
Residential Treatment Facility, Emotionally Disturbed Children
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tatum
Owner/executive Director
Last NPPES update
2025-11-11
Source: monthly bulk 2026-05

How this organization compares

Across 94 active residential treatment facility, emotionally disturbed children providers in Texas.

NPI age
0 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 35% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-10Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
5900 Clover Ln
Waco, TX 767102809
📞 2544129073
Mailing address
5900 Clover Ln
Waco, TX 767102809

Authorized official

Kim Tatum, LCCA
Owner/executive Director
📞 2544129073

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Residential Treatment Facility, Emotionally Disturbed Children Primary
    A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
    taxonomy 322D00000X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
    taxonomy 261QM0855X
  • Residential Treatment Facility, Intellectual and/or Developmental Disabilities
    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
    taxonomy 320600000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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