Organization · Type 2 NPI

Grace Path Wellness Center LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Tysons, VA

NPI number 1205762069 Active

Practice location

1747 Tysons Central St Apt 2302
Tysons, VA 22182-6057

Mailing address

5709 Edgewood Ave
Lynchburg, VA 24502-1903

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

About NPI 1205762069

Grace Path Wellness Center LLC's National Provider Identifier is 1205762069, issued on Jun 19, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tysons, VA. The record was last updated on Jun 19, 2026.