# FHENIX WEIGHT LOSS FOREVER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184438186
- **Authorized official:** MS. TISHAMBAY THOMPSON FNP (FNP)
- **Authorized official phone:** (281) 770-9577

## Contact information

- **Practice address:** 6130 LANDOVER RD, CHEVERLY, MD 20785-1022
- **Practice address phone:** (202) 715-6626
- **Practice address fax:** (765) 680-8654
- **Mailing address:** 13885 HEDGEWOOD DR STE 241, WOODBRIDGE, VA 22193-7931
- **Mailing address phone:** (202) 715-6626
- **Mailing address fax:** (765) 680-8654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 08/12/2025