# FHENIX WEIGHT LOSS FOREVER LLC

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

## Provider details

- **NPI number:** 1841005519
- **Authorized official:** TISHAMBAY THOMPSON FNP (NP)
- **Authorized official phone:** (703) 568-3876

## Contact information

- **Practice address:** 6130 LANDOVER RD, CHEVERLY, MD 20785-1022
- **Practice address phone:** (202) 715-6624
- **Mailing address:** 13885 HEDGEWOOD DR STE 241, WOODBRIDGE, VA 22193-7931
- **Mailing address phone:** (202) 715-6624
- **Mailing address fax:** (765) 680-8654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2025
- **Last updated:** 08/10/2026