OrganizationActive
Body Image Therapy Center Intensive
NPI 1982035994 · Multi-Specialty Clinic/Center · Washington, DC
Provider details
- NPI number
- 1982035994
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- The Body Image Therapy Center, LLC
- Organization subpart
- Yes
- Authorized official
- Jeremy Reals, Outpatient Operations Manager(202) 819-5000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Practice location
2639 Connecticut Ave Nw Ste 251
Washington, DC 20008-2651
Phone: (877) 674-2843
Approximate (ZIP-level) locationGet directions
Mailing address
2639 Connecticut Ave Nw Ste 251
Washington, DC 20008-2651
Additional practice locations (2)
- 3521 Buckeystown PikeBuckeystown, MD 21717Phone: (877) 674-2843
- 9192 Red Branch RdSuite 270Columbia, MD 21045-2030Phone: (443) 602-6515
Registry dates
- Enumerated
- 2013-12-02
- Last updated
- 2022-03-23
- Certified
- 2022-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.