# PHOENIX HOLISTIC HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629946660
- **Authorized official:** CARLYSSA LEBEAUF PMHNP-BC (CEO)
- **Authorized official phone:** (804) 393-4250

## Contact information

- **Practice address:** 3140 WALMSLEY BLVD, RICHMOND, VA 23234-2540
- **Practice address phone:** (804) 393-4250
- **Practice address fax:** (804) 201-9785
- **Mailing address:** 1248 CARMIA WAY \# 1100, NORTH CHESTERFIELD, VA 23235-4750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2025
- **Last updated:** 03/25/2026