Individual provider · Type 1 NPI

Leta Olivia Spain

Mental Health Counselor · Wilmington, NC

NPI number 1184415903 Active

Practice location

7649 Market St Unit 202
Wilmington, NC 28411-9458

Call (910) 981-1760 Map

Fax (910) 463-5495

Mailing address

636 Council St Apt 104
Wilmington, NC 28403-0389

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1184415903

Leta Olivia Spain's National Provider Identifier is 1184415903, issued on May 13, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, NC. The record was last updated on May 13, 2025.