SOUL SPRING PSYCHIATRY PLLC NPI 1902616907

NPI Information

  • NPI: 1902616907
  • Provider Name: SOUL SPRING PSYCHIATRY PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 2100 GEORGE DIETER DR
    EL PASO, TX
    ZIP 79936
  • Phone: (704) 340-4431

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NPI Details

SOUL SPRING PSYCHIATRY PLLC is a family nurse practitioner in El Paso, TX. SOUL SPRING PSYCHIATRY PLLC NPI is 1902616907. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2100 GEORGE DIETER DR
EL PASO, TX
ZIP 79936-815
Phone: (704) 340-4431
Fax: (979) 316-1851

The provider's authorized official is Princess Ahedor .
The authorized official title is Np and has the following contact phone number (704) 340-4431.

The enumeration date for this NPI number is 1/10/2025 and was last updated on 8/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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