Healthcare Provider Details

I. General information

NPI: 1588730865
Provider Name (Legal Business Name): SYLVIA B BEDOR LCMHC, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 CONCORD AVE
SAINT JOHNSBURY VT
05819-1513
US

IV. Provider business mailing address

231 CONCORD AVE
SAINT JOHNSBURY VT
05819-1513
US

V. Phone/Fax

Practice location:
  • Phone: 802-748-5364
  • Fax: 802-748-7289
Mailing address:
  • Phone: 802-748-5364
  • Fax: 802-748-7289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: