Wallace, Letitia J

Wallace, Letitia J is an sole proprietor health care provider with primary practice located at 8401 Mayland Dr # 5766 , Richmond VA 23294-4648. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wallace, Letitia J can be contacted via phone (804) 635-6535.

Contact Information

Primary practice address
8401 Mayland Dr # 5766 Richmond VA 23294-4648
Phone: (804) 635-6535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001236086 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024193187 Virginia

Profile Details

NPI number 1619353224
LBN Legal business name Wallace, Letitia J
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2015
Last updated Jun 26th, 2025 - about last year

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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