Organization
ELYSIAN HEALTH LLC
Active
Other names
Elysian Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BERNIARD MD (MEDICAL DIRECTOR)
(757) 949-8076
Entity
Organization
Contact information
Practice address
240 MUSTANG TRL STE 1, VIRGINIA BEACH, VA 23452-7516
(757) 949-8076
Mailing address
2249 WELSH DR, VIRGINIA BEACH, VA 23456-6930
(757) 949-8076
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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