Healthcare Provider Details

I. General information

NPI: 1508786542
Provider Name (Legal Business Name): LEYDA C SPIRO LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HEMLOCK DR
ASHEVILLE NC
28806-0596
US

IV. Provider business mailing address

15 HEMLOCK DR
ASHEVILLE NC
28806-0596
US

V. Phone/Fax

Practice location:
  • Phone: 904-237-5159
  • Fax:
Mailing address:
  • Phone: 904-237-5159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23250
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: