Epiphany Soul
NPI 1669349148 · Emotionally Disturbed Childrens' Residential Treatment Facility · Waco, TX
Epiphany Soul is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Waco, TX (NPI 1669349148).
Provider details
- NPI number
- 1669349148
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kim Tatum, Owner/Executive Director(254) 412-9073
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Case Management Agency251B00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-20
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Epiphany Soul's NPI number?
- Epiphany Soul's National Provider Identifier (NPI) is 1669349148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Epiphany Soul?
- Epiphany Soul is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Epiphany Soul located?
- Epiphany Soul's practice location on file with NPPES is 5900 Clover Ln, Waco, TX 76710-2809.
- What is Epiphany Soul's phone number?
- The practice phone number listed in the NPPES registry for Epiphany Soul is (254) 412-9073.
- Who is the authorized official for Epiphany Soul?
- The authorized official listed on Epiphany Soul's NPPES record is Kim Tatum, Owner/Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Epiphany Soul's NPI active?
- Yes — Epiphany Soul's NPI (1669349148) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.