Vida Clinic Pllc is a Clinical - 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 has mental health professionals specialized in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Psychologists main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that psychologists can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
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:
Clinical 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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.