Active NPIIndividual providerSole proprietor

Letisha E Leach, FNP-BC, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Baltimore, Ohio

NPI Number1063656239
Practice location
12124 Roesta Ln NW, Baltimore, OH 43105-9200
Fax
614-591-3744
Last updated
August 31, 2026

Letisha E Leach is a Nurse Practitioner, Psych/Mental Health based in Baltimore, OH. Letisha E Leach practices in Baltimore, OH and has the professional credentials of FNP-BC, PMHNP-BC. The NPI Number for Letisha E Leach is 1063656239 and holds a License No. 118756-23 (NH). The current practice location address for Letisha E Leach is 12124 Roesta Ln NW, Baltimore, OH 43105-9200 and can be reached out via phone at 614-300-7977 and via fax at 614-591-3744.

Provider Profile Details

NPI Number
1063656239
Provider Name
Letisha E Leach
Credential
FNP-BC, PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
12124 Roesta Ln NW, Baltimore, OH 43105-9200
Phone Number
614-300-7977
Fax Number
614-591-3744
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Other Names
Letisha Wheeler (Former Name)
Provider Enumeration Date
May 1, 2009
Last Update Date
August 31, 2026
Certification Date
August 31, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
12124 Roesta Ln NW
Baltimore, OH 43105-9200
State
Ohio
Zip
43105-9200
Phone Number
614-300-7977
Fax Number
614-591-3744
Baltimore, OH 43105Get directions →

Provider Business Mailing Address Details

Address
12124 Roesta Ln NW
Baltimore, OH 43105-9200
City
Baltimore
State
OH
Zip
43105-9200
Phone Number
614-300-7977
Fax Number
614-591-3744

License Information

License Number (1)
118756-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
APRN.CNP.10824
License State (2)
OH
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
APRN.CNP.10824
License State (3)
OH
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Letisha E Leach, FNP-BC, PMHNP-BC?

The NPI number of Letisha E Leach, FNP-BC, PMHNP-BC is 1063656239. It was assigned on May 1, 2009 and is currently active in the NPPES registry.

What is the specialty of Letisha E Leach, FNP-BC, PMHNP-BC?

Letisha E Leach, FNP-BC, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NH under license number 118756-23.

Where does Letisha E Leach, FNP-BC, PMHNP-BC practice?

The practice location is 12124 Roesta Ln NW, Baltimore, OH 43105-9200. The office can be reached at 614-300-7977 (phone) or 614-591-3744 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063656239 directly on the NPPES registry website.

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