Vida Clinic PLLC
Vida Clinic PLLC is a Clinical Psychologist in Austin, Texas. Licensed in Texas. Registered with an NPI since 2015.
- Licensed in
- TX
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1221 W Ben White Blvd Ste 210AAustin, TX 78704-7182
Phone: (512) 960-4533
Fax: (512) 887-3970
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 34166 (TX) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence 34166 (TX) |
Record details
| NPI number | 1912389081 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alain Stordahl — Business Manager · (512) 537-7976 |
| NPI enumerated | June 24, 2015 |
| Last updated in NPPES | August 16, 2021 |
| Certification date | August 16, 2021 |
| Mailing address | 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182 |
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