Julie Avescat, APRN

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Leesburg, FL

NPI 1063044584 · NPPES record last updated Jun 25, 2025

Key facts

NPI
1063044584
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
APRN11039761 (FL)
Practice address
2020 Tally Rd
Leesburg, FL 34748-3426
Phone
(352) 315-7800
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifestream Behavioral Center Inc (18 clinicians)

Practice addresses (Care Compare)

1554 Boren Dr
Suite 100
Ocoee, FL 34761-2986
Phone (407) 614-2715

201 E Magnolia Ave
Eustis, FL 32726-3583
Phone (352) 357-1550

2018 Tally Rd
Leesburg, FL 34748-3426
Phone (352) 315-7400

2020 Tally Rd
Leesburg, FL 34748-3426
Phone (352) 315-7800

2120 N Don Wickham Dr
Clermont, FL 34711-1922
Phone (352) 315-7501

215 N 3Rd St
Leesburg, FL 34748-5105
Phone (352) 315-7900

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250812003478 FL Practitioner - Nurse Practitioner 2567975949 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9496129FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestream Behavioral Center Inc Current
since Jun 29, 2025
Accepting new patients
Lifestream Behavioral Center Inc Current
since Jul 14, 2025
Accepting new patients

Locations

215 N 3rd St
Leesburg, FL 34748
Phone (352) 315-7900

2020 Tally Rd
Leesburg, FL 34748
Phone (352) 315-7800

1554 Boren Dr
Ste 100
Ocoee, FL 34761
Phone (407) 614-2715

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9496129 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11039761 FL Yes

Addresses

Primary practice location

2020 Tally Rd
Leesburg, FL 34748-3426

Mailing address

6719 Coral Berry Dr
Mount Dora, FL 32757-7457
Phone (863) 529-2118

Other providers in Leesburg, FL

All providers in Leesburg, FL · Psychiatric/Mental Health Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.