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Vida Clinic Pllc
Community/Behavioral Health Agency in Austin, Texas
NPI 1912389081

Vida Clinic Pllc is a Community/Behavioral Health Agency based in Austin, TX. Vida Clinic Pllc practices in Austin, TX. The NPI Number for Vida Clinic Pllc is 1912389081 and holds a License No. 34166 (Texas).

The current practice location address for Vida Clinic Pllc is 1221 W Ben White Blvd Ste 210A, Austin, TX and can be reached out via phone at 512-960-4533 and via fax at 512-887-3970.

Location: 1221 W Ben White Blvd Ste 210A, Austin, TX, 78704-7182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912389081
Provider Name
Vida Clinic Pllc
Credential
Provider Entity Type
Organization
Address
1221 W Ben White Blvd Ste 210A, Austin, TX, 78704-7182
Phone Number
512-960-4533
Fax Number
512-887-3970
Provider Enumeration Date
06/24/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3572935-01 05 TX
institution
Provider Business Practice Location Address Details
Address
1221 W Ben White Blvd Ste 210A
City
Austin
State
Texas
Zip
78704-7182
Phone Number
512-960-4533
Fax Number
512-887-3970
person
Provider Business Mailing Address Details
Address
1221 W Ben White Blvd Ste 210A
City
Austin
State
Texas
Zip
78704-7182
Phone Number
512-960-4533
Fax Number
512-887-3970
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
34166 (Texas)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
34166 (Texas)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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