Longview, TX
At Genesis Lifestyle Medicine in Longview, we are passionate about helping you achieve total wellness with personalized care that helps you look and feel your absolute best.
Our Leadership
Alex Spinoso - Co-Founder, CEO
Brent Messer - Co-Founder, CEO
Kara McClanahan - VP of Operations
Andrew Schreiner - CFO
Sean Burleson - VP of HR
Ashleigh McIntyre - Regional Director - West
Gianna Fusco, Regional Director - West
Kera O'String - Regional Director - East
Our Providers
Laney Walker, APRN
Laney Walker is a Family Nurse Practitioner serving patients in Longview and Marshall, Texas, with more than a decade of nursing experience across diverse clinical settings. She began her career in urgent care, where she managed a wide range of acute and chronic conditions while developing strong diagnostic and clinical decision-making skills.
During this time, Laney also served in leadership as an Assistant Director of Nursing, gaining experience in clinical oversight, staff development, and patient care coordination. She later worked in case management within a rural hospital system, strengthening her expertise in care coordination, patient advocacy, and interdisciplinary collaboration.
Laney is deeply committed to patient-centered care and focuses on helping individuals achieve sustainable health and wellness goals through education, evidence-based practice, and compassionate support.
Uriel Perez, RN
Uriel Perez is a Registered Nurse serving patients in Longview and Marshall, Texas, with a strong passion for aesthetic medicine, wellness, and patient confidence. He works full time as a nurse injector and wellness consultant, providing personalized aesthetic treatments, injectable services, and weight management support.
Uriel’s clinical background includes perioperative and emergency care, which shaped his attention to safety, calm demeanor, and patient-focused approach. He believes in educating patients, setting realistic goals, and developing treatment plans that enhance natural beauty while supporting long-term health and well-being.
Patients value his thoughtful guidance, clear communication, and commitment to helping them feel confident in their own skin.
Hillary Mitchell, APRN
Hillary Mitchell is a board-certified Nurse Practitioner serving patients in Longview and Marshall, Texas, with dual certification in family medicine and psychiatry. With more than 10 years of clinical experience, Hillary uniquely integrates medical and psychiatric care to deliver truly comprehensive treatment.
Her dual training allows for deeper insight into the connection between physical health, mental well-being, and long-term outcomes. Hillary specializes in personalized, results-driven care that supports both physical transformation and sustained health.
Patients appreciate her thoughtful, whole-person approach and her ability to create precise treatment plans that address underlying causes while supporting overall wellness.
