Healthcare Provider Details

I. General information

NPI: 1598677049
Provider Name (Legal Business Name): VIDA COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 EXETER RD STE 1
GERMANTOWN TN
38138-3933
US

IV. Provider business mailing address

1515 HOWLING DR
COLLIERVILLE TN
38017-8664
US

V. Phone/Fax

Practice location:
  • Phone: 956-655-4111
  • Fax:
Mailing address:
  • Phone: 956-655-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHEILA MULANAX
Title or Position: OWNER
Credential: LPC-MHSP
Phone: 956-655-4111