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NPI Code Detail

MEDICARE: ELYSIAN MIND & BODY PLLC

MEDICARE: ELYSIAN MIND & BODY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1851260152
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELYSIAN MIND & BODY PLLC
Provider Business Mailing Address
First Line : PO BOX 450051
Second Line :
City : SUNRISE
State : FL
Zip : 33345-0051
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1702 S DIXIE HWY
Second Line :
City : LAKE WORTH BEACH
State : FL
Zip : 33460-5886
Country : US
Telephone Number : 959-216-6130
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : IREON LEBEAUF
Credential : MD
Telephone Number : 504-430-9322
Provider Enumeration Date : 11/04/2025
Last Update Date : 11/04/2025

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Directions to “ELYSIAN MIND & BODY PLLC ” Practice Location

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