Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Holistic Health and Wellness LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1629946660

Phoenix Holistic Health and Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner in Richmond, Virginia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3140 Walmsley Blvd
Richmond, VA 23234-2540
Phone: (804) 393-4250
Fax: (804) 201-9785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1629946660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlyssa Lebeauf — Ceo · (804) 393-4250
NPI enumeratedOctober 29, 2025
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address1248 Carmia Way # 1100, North Chesterfield, VA 23235-4750

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