Healthcare Provider Details

I. General information

NPI: 1518887629
Provider Name (Legal Business Name): LINSEY ABTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7725 TINTED MESA CT
LAS VEGAS NV
89149-6440
US

IV. Provider business mailing address

7725 TINTED MESA CT
LAS VEGAS NV
89149-6440
US

V. Phone/Fax

Practice location:
  • Phone: 786-322-4228
  • Fax:
Mailing address:
  • Phone: 786-322-4228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26855
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: