OrganizationActive
Genesis Tms & Wellness LLC
NPI 1609545003 · Adult Mental Health Clinic/Center · Fairfax, VA
Provider details
- NPI number
- 1609545003
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ifeanyi Olele, Medical Director(310) 213-9945
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
10337b Democracy Ln
Fairfax, VA 22030-2521
Phone: (703) 955-0915
Approximate (ZIP-level) locationGet directions
Mailing address
10337 Democracy Ln Ste B
Fairfax, VA 22030-2551
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2022-07-27
- Certified
- 2022-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.