Organization · Type 2 NPI

Epiphany Soul

Emotionally Disturbed Childrens' Residential Treatment Facility · Waco, TX

NPI number 1669349148 Active

Practice location

5900 Clover Ln
Waco, TX 76710-2809

Mailing address

PO Box 24245
Waco, TX 76702-4245

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: 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.

2 other providers at this address

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About NPI 1669349148

Epiphany Soul's National Provider Identifier is 1669349148, issued on Oct 20, 2025. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Waco, TX. The record was last updated on Jun 4, 2026.