Provider Demographics
NPI:1578052304
Name:LYBECK-GARNER, TAMI KAY (LPC)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:KAY
Last Name:LYBECK-GARNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 NW MEADOWLARK WAY
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-5430
Mailing Address - Country:US
Mailing Address - Phone:509-737-7490
Mailing Address - Fax:
Practice Address - Street 1:364 NW MEADOWLARK WAY
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-5430
Practice Address - Country:US
Practice Address - Phone:509-737-7490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC7991101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health