Vida Clinic Pllc is a Psychology Clinic in Austin, Texas. It is located at 1221 W Ben White Blvd Ste 210a, Austin, TX and its contact number is 512-960-4533. The authorized person for Vida Clinic Pllc is Alain Stordahl
who is Business Manager of the clinic and his/her contact number is 512-537-7976. The primary license number for Vida Clinic Pllc is 34166 (Clinical) in Texas.
Vida Clinic Pllc Clinic is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Vida Clinic Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Vida Clinic Pllc |
| Specialization: | Psychology |
| Clinic Address: | 1221 W Ben White Blvd Ste 210a, Austin, Texas, 78704-7182 |
| Phone: | 512-960-4533 |
| Fax: | 512-887-3970 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Alain Stordahl |
| Position: | Business Manager |
| Contact Number: | 512-537-7976 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Vida Clinic Pllc clinic are as mentioned below.
| NPI Number: | 1912389081 |
| NPI Enumeration Date: | 24 Jun, 2015 |
| NPI Last Update On: | 16 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vida Clinic Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinical | 34166 | Texas | Primary | |
| Community/behavioral Health | 34166 | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3572935-01 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Vida Clinic Pllc 1221 W Ben White Blvd Ste 210a, Austin, Texas |
| Zip: | 78704-7182 |
| Phone Number: | 512-960-4533 |
| Fax Number: | 512-887-3970 |
Patients can reach Vida Clinic Pllc at
1221 W Ben White Blvd Ste 210a, Austin, Texas or can
call to book an appointment on 512-960-4533.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.