Individual provider Active NPI

Leticia Christie, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1174366470
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11033316 Issued in FL
Practice address
100 E Sybelia Ave Ste 150
Maitland, FL 32751-4773
Phone
(407) 986-7442
Fax
(407) 790-7098
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11033316 FL Primary

Addresses

Primary practice location

100 E Sybelia Ave Ste 150
Maitland, FL 32751-4773

Mailing address

1305 Morgan Stanley Ave Unit 102
Winter Park, FL 32789-1945
Phone (352) 789-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250105000122 FL Practitioner - Nurse Practitioner 1153859103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

100 E Sybelia Ave
Suite 150
Maitland, FL 32751-4773
Phone (407) 986-7442

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11033316FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Feb 18, 2026 Accepting new patients
MCR Health, Inc. CurrentSince Sep 9, 2025 Accepting new patients
Balanced Wellbeing LLC CurrentSince Aug 11, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Sep 9, 2025 Accepting new patients
Lehigh Acres BG Opco LLC CurrentSince Feb 18, 2026 Accepting new patients

Locations

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 986-7442

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

2910 Maguire Rd
Ste 2002
Ocoee, FL 34761
Phone (407) 287-1664

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1174366470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MORGAN STANLEY AVE UNIT 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891945",
            "telephone_number": "352-789-7491",
            "fax_number": "845-966-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SYBELIA AVE STE 150",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514773",
            "telephone_number": "407-986-7442",
            "fax_number": "407-790-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "LETICIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11033316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.