Dynlacht, Dionne

Dynlacht, Dionne is an individual health care provider with primary practice located at 12647 Geist Cove Dr , Indianapolis IN 46236-7239. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Dynlacht, Dionne can be contacted via phone (317) 826-4205.

Contact Information

Primary practice address
12647 Geist Cove Dr Indianapolis IN 46236-7239
Phone: (317) 826-4205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20041360A Indiana
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 20041360A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041360A Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20041360A Indiana
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20041360A Indiana

Profile Details

NPI number 1972547693
LBN Legal business name Dynlacht, Dionne
Credentials PHD, HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Apr 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972547693 NPPES
Indiana MEDICAID 201057980
Indiana MEDICAID 100323760A
Indiana Other 000000849448

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