PHOENIX HOLISTIC HEALTH AND WELLNESS LLC
NPI 1629946660
Nurse Practitioner - Psychiatric/Mental Health in Richmond, VA

Q: What is Phoenix Holistic Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 29, 2025

3140 WALMSLEY BLVD, RICHMOND, VA 23234(804) 393-4250(804) 201-9785 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Phoenix Holistic Health And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX HOLISTIC HEALTH AND WELLNESS LLC (NPI 1629946660) is a healthcare organization registered as a psychiatric/mental health in Richmond, Virginia and active in the NPI registry since October 2025. The organization lists Carlyssa Lebeauf, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629946660

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NamePHOENIX HOLISTIC HEALTH AND WELLNESS LLC

Location Address3140 WALMSLEY BLVDRichmond, VA 23234-2540

Mailing Address1248 Carmia Way # 1100North Chesterfield, VA 23235-4750

Phone(804) 393-4250

Fax(804) 201-9785

Organization SubpartNo

Authorized OfficialCarlyssa LebeaufCeo · (804) 393-4250

Enumeration DateOctober 29, 2025

Last NPPES UpdateMarch 25, 2026

NPPES CertifiedMarch 25, 2026

✔ NPI 1629946660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

3140 WALMSLEY BLVD, Richmond, VA 23234

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLYSSA CHARNELE LEBEAUF RN, QMHP-A

Nurse Practitioner (Psychiatric/Mental Health)

3140 WALMSLEY BLVD
RICHMOND, VA 23234

Chesterfield County (804) 393-4250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Holistic Health And Wellness LLC's NPI number?

The NPI number for Phoenix Holistic Health And Wellness LLC is 1629946660. It was assigned to this organization in the NPPES registry on October 29, 2025.

Where is Phoenix Holistic Health And Wellness LLC located?

Phoenix Holistic Health And Wellness LLC is located at 3140 Walmsley Blvd, Richmond, VA 23234. The listed phone number is (804) 393-4250.

What is Phoenix Holistic Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Phoenix Holistic Health And Wellness LLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.