| Doctor Name: | MS. LYDIA ANGELICA WINTERBERG |
| NPI Number: | 1730481813 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH 6033 |
| Business Practice Address: | 12329 Sw 107th Street Rd Dunnellon, FL - 344325401 |
| Business Phone Number: | 3522099996 |
| Business Fax Number: | |
| Mailing Address: | Po Box 770473, OCALA |
| State: | FL |
| Postal Code: | 344770473 |
| Phone Number: | 3522099996 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2010 |
| NPI Last Update Date: | 11/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 6033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |