# CARLYSSA CHARNELE LEBEAUF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346959459
- **Gender:** F
- **Credential:** RN, QMHP-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 0024194740 | VA | Yes |

## Other

- **Enumeration date:** 11/17/2022
- **Last updated:** 03/25/2026
