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Individual
CARLYSSA CHARNELE LEBEAUF
Active
Individual
CARLYSSA CHARNELE LEBEAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, QMHP-A
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001310453
VA
163WP0808X
Psychiatric/Mental Health Registered Nurse
0001310453
VA
251B00000X
Case Management Agency
0732009711
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024194740
VA
Other
Enumeration date
11/17/2022
Last updated
03/25/2026
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