Provider Demographics
NPI:1356118715
Name:VANHYFTE, LYNETTE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:
Last Name:VANHYFTE
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 BROAD RIPPLE AVE STE 177
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2034
Mailing Address - Country:US
Mailing Address - Phone:309-781-3300
Mailing Address - Fax:
Practice Address - Street 1:8606 ALLISONVILLE RD STE 120
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-3585
Practice Address - Country:US
Practice Address - Phone:312-566-7616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33011870A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker