Organization
PHOENIX HOLISTIC HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLYSSA LEBEAUF PMHNP-BC (CEO)
(804) 393-4250
Entity
Organization
Contact information
Practice address
3140 WALMSLEY BLVD, RICHMOND, VA 23234-2540
(804) 393-4250
(804) 201-9785
Mailing address
1248 CARMIA WAY # 1100, NORTH CHESTERFIELD, VA 23235-4750
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
03/25/2026
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