Healthcare Provider Details

I. General information

NPI: 1487589925
Provider Name (Legal Business Name): GOLDEN COMPASS MENTAL HEALTH WELLNESS CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 TURTLE CREEK DR
KYLE TX
78640-4199
US

IV. Provider business mailing address

240 TURTLE CREEK DR
KYLE TX
78640-4199
US

V. Phone/Fax

Practice location:
  • Phone: 512-256-0067
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHAUNTRESSE ERIN BOSARGE
Title or Position: MSN
Credential:
Phone: 512-256-0067