Vida Recovery Llc is a medicare enrolled mental health clinic (Counselor - Addiction (substance Use Disorder)) in Jourdanton, Texas. The current practice location for Vida Recovery Llc is 812 Poplar St, Jourdanton, Texas. For appointments, you can reach them via phone at (830) 399-5010. The mailing address for Vida Recovery Llc is 812 Poplar St, Jourdanton, Texas and phone number is (830) 399-5010.
Vida Recovery Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235911611. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (830) 399-5010.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Vida Recovery Llc 812 Poplar St Jourdanton TX 78026-2940 Ph: (830) 399-5010
Vida Recovery Llc 812 Poplar St Jourdanton TX 78026-2940 Ph: (830) 399-5010
NPI Details:
NPI Number
1235911611
Provider Enumeration Date
10/19/2023
Last Update Date
10/19/2023
Certification Date
10/19/2023
Medicare PECOS Information:
Medicare PECOS PAC ID
7618314295
Medicare Enrollment ID
O20240318003653
Medical Identifiers
Medical identifiers for Vida Recovery Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1235911611
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
101YA0400X
Counselor - Addiction (substance Use Disorder)
(* (Not Available))
Primary
101YP2500X
Counselor - Professional
(* (Not Available))
Secondary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Vida Recovery Llc acts as a billing entity for following providers: