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Active NPI 1962607812 Individual Practitioner Female Practitioner

Vida June Phoenix , LPC

Counselor - Professional • Decatur, TX

Professional Overview & Biography Verified Profile Summary

Vida Phoenix, LPC is a registered healthcare professional specializing in Counselor - Professional in Decatur, TX. Practice services are available at 206 N STATE ST STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

206 N State St Ste 201

Decatur, TX 762341444

Telephone 8173683875
Associated Practice Facility / Clinic
🏢 Resonant Evolution Llc Facility NPI 1174953483

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Decatur, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Decatur, TX (21203 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 16923

Definition to come...

Secondary Practice Locations

155 Fossil Rock Dr

Azle, TX 760201357

Phone: 2146165310

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 28, 2019

Registered at 206 N STATE ST STE 201, DECATUR, TX 762341444 (Tel: 8173683875)

📍
Updated Business Mailing Address February 28, 2019

Registered at 206 N STATE ST UNIT 1944, DECATUR, TX 762341444 (Tel: 8173683875)

👤
Provider Name / Credentials Updated February 28, 2019

Recorded as VIDA PHOENIX, L.P.C.

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 155 FOSSIL ROCK DR, AZLE, TX 760201357 (Tel: 2146165310)

📍
Updated Business Mailing Address July 08, 2007

Registered at 155 FOSSIL ROCK DR, AZLE, TX 760201357 (Tel: 2146165310)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as VIDA YARN, L.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #16923 in TX)

🟢
Initial NPI Registration & Enumeration June 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962607812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2007
Last Update: February 28, 2019
Sole Proprietor: Yes

Mailing Address

206 N State St Unit 1944

Decatur, TX 762341444

Phone: 8173683875

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.