Organization
ENDURING SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIAN AVILES LCSW (PRESIDENT)
(523) 630-2022
Entity
Organization
Contact information
Practice address
2009 FOUNTAINWOOD DR, GEORGETOWN, TX 78633-1907
(512) 630-2022
Mailing address
2009 FOUNTAINWOOD DR, GEORGETOWN, TX 78633-1907
(512) 630-2022
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/23/2025
Last updated
08/12/2025
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