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NPI Code Detail

MEDICARE: LINDSEY BATISTA LCSW

MEDICARE: LINDSEY BATISTA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker8773061-3501UT

General Provider Information

NPI Number : 1952799934
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY BATISTA LCSW
Provider Business Mailing Address
First Line : 1161 N MURDOCK DR APT B
Second Line :
City : PLEASANT GROVE
State : UT
Zip : 84062-8957
Country : US
Telephone Number : 801-829-8912
Fax Number : 801-373-0639
Provider Business Practice Location Address
First Line : 3319 N UNIVERSITY AVE STE 100
Second Line :
City : PROVO
State : UT
Zip : 84604-4447
Country : US
Telephone Number : 801-356-0014
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2014
Last Update Date : 10/27/2021

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Directions to “ LINDSEY BATISTA LCSW” Practice Location

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