Provider Demographics
NPI:1750191078
Name:HINTZ, OLIVIA LEIGH
Entity type:Individual
Prefix:MISS
First Name:OLIVIA
Middle Name:LEIGH
Last Name:HINTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 BRIARWOOD DR NW
Mailing Address - Street 2:
Mailing Address - City:CALABASH
Mailing Address - State:NC
Mailing Address - Zip Code:28467-1710
Mailing Address - Country:US
Mailing Address - Phone:910-398-0134
Mailing Address - Fax:
Practice Address - Street 1:520 BRIARWOOD DR NW
Practice Address - Street 2:
Practice Address - City:CALABASH
Practice Address - State:NC
Practice Address - Zip Code:28467-1710
Practice Address - Country:US
Practice Address - Phone:910-398-0134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool