Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Epiphany Soul

Organization Case Management Agency · NPI 1669349148

Epiphany Soul is a Case Management Agency in Waco, Texas. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

5900 Clover Ln
Waco, TX 76710-2809
Phone: (254) 412-9073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1669349148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Tatum — Owner/Executive Director · (254) 412-9073
NPI enumeratedOctober 20, 2025
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing addressPo Box 24245, Waco, TX 76702-4245

Other providers in Waco