Phoenix Holistic Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PHOENIX HOLISTIC HEALTH AND WELLNESS LLC

Practice address

3140 Walmsley Blvd
Richmond, VA 23234-2540

Phone

(804) 393-4250

Fax

(804) 201-9785

NPI assigned

Oct 29, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carlyssa Lebeauf, PMHNP-BCNPI 1346959459

Title

Ceo

Phone

(804) 393-4250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlyssa Charnele Lebeauf, RN, QMHP-A

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
  • NPI 1346959459
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1629946660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 CARMIA WAY # 1100",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 WALMSLEY BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232342540",
            "telephone_number": "804-393-4250",
            "fax_number": "804-201-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOLISTIC HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "LEBEAUF",
        "authorized_official_first_name": "CARLYSSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-393-4250",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caren E. Phipps, LPC, LMFT
• Phlebotomy Love and Care LLC
• Phoccus Health Company
• Phoenix Consulting & Behavior Therapy, LLC
• Phoenix Family Services, LLC
• Jenny Phung
• Physical Medicine & Rehabilitation of Richmond Inc
• Physical Medicine Associates, LTD
• Physiotherapy Associates Inc
• Isaac Pianim

• Psychiatric/Mental Health Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.