Provider Demographics
NPI:1578890430
Name:LYBARGER, LINDA WINCHELL (LADC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:WINCHELL
Last Name:LYBARGER
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 FARM HILL RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:VT
Mailing Address - Zip Code:05661-8721
Mailing Address - Country:US
Mailing Address - Phone:802-888-2223
Mailing Address - Fax:
Practice Address - Street 1:65 NORTHGATE PLAZA
Practice Address - Street 2:SUITE 11
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-5900
Practice Address - Country:US
Practice Address - Phone:802-888-8320
Practice Address - Fax:802-888-8136
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)