VIDA RECOVERY LLC NPI 1235911611

NPI Information

NPI: 1235911611
Provider Name: VIDA RECOVERY LLC
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 10127 MOROCCO ST STE 196
SAN ANTONIO, TX
ZIP 78216
Phone: (830) 216-6563

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NPI Details

VIDA RECOVERY LLC is an adult mental health clinic center in San Antonio, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. VIDA RECOVERY LLC NPI is 1235911611. The provider is registered as an organization entity type.

The provider's business location address is:

10127 MOROCCO ST STE 196
SAN ANTONIO, TX
ZIP 78216-943
Phone: (830) 216-6563
Fax: (330) 595-4025

The provider's authorized official is Shiloh Mcclelland .
The authorized official title is Administrator and has the following contact phone number (330) 227-2291.

The enumeration date for this NPI number is 10/19/2023 and was last updated on 9/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	101YP2500X	Counselor	Professional	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
5	261Q00000X	Clinic/Center		No
6	261QM0850X	Clinic/Center	Adult Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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