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VIGOR INTEGRATIVE WELLNESS LLC
NPI 1255176129
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

Active since July 01, 2024
10304 EATON PL STE 100, FAIRFAX, VA 22030(888) 217-7061(346) 706-6891 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vigor Integrative Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIGOR INTEGRATIVE WELLNESS LLC (NPI 1255176129) is a healthcare organization registered as a psychiatric/mental health in Fairfax, Virginia and active in the NPI registry since July 2024. The organization lists Kerniba Ghoneim, Owner, as its authorized official.

NPPES Registry Identity

NPI1255176129
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVIGOR INTEGRATIVE WELLNESS LLC
Location Address10304 EATON PL STE 100Fairfax, VA 22030-2221
Mailing Address10304 Eaton Pl Ste 100Fairfax, VA 22030-2221 · (888) 217-7061 · Fax (346) 706-6891
Phone(888) 217-7061
Fax(346) 706-6891
Organization SubpartNo
Authorized OfficialKerniba GhoneimOwner · (888) 217-7061
Enumeration DateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1255176129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10304 EATON PL STE 100, Fairfax, VA 22030
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALVIN LAYNE III PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (571) 463-8620
VALERIE KAY KEEHN BCBA
Behavior Analyst
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (855) 295-3276
KODA BRINKER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (571) 463-8620
LIFESPEED MEDICAL, LLC
Durable Medical Equipment & Medical Supplies
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (352) 232-3540
LIBAN ABDALLA
Behavior Technician
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (813) 761-0264
ANIKA LAMBA
Behavior Technician
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (813) 461-0264
FOR THE GOOD THERAPEUTIC SERVICES INC.
Counselor (Professional)
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (571) 412-1791
ANGIE IRAHETA GRUESSING
Behavior Technician
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (813) 761-0264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vigor Integrative Wellness LLC's NPI number?

The NPI number for Vigor Integrative Wellness LLC is 1255176129. It was assigned to this organization in the NPPES registry on July 1, 2024.

Where is Vigor Integrative Wellness LLC located?

Vigor Integrative Wellness LLC is located at 10304 Eaton Pl Ste 100, Fairfax, VA 22030. The listed phone number is (888) 217-7061.

What is Vigor Integrative Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Vigor Integrative Wellness LLC was last updated on July 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.