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Organization
VIDA PSYCHOLOGICAL SERVICES LLC
Active
Organization
VIDA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MARISOL ZAMORA MACIAS PSYD., LMFT (OWNER)
(949) 664-3218
Entity
Organization
Contact information
Practice address
18430 BROOKHURST ST STE 201G, FOUNTAIN VALLEY, CA 92708-6757
(949) 591-9508
(949) 861-9816
Mailing address
18430 BROOKHURST ST STE 201G, FOUNTAIN VALLEY, CA 92708-6757
(949) 591-9508
(949) 861-9816
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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