Provider Demographics
NPI:1134664493
Name:NATIONAL CENTER FOR WEIGHT AND WELLNESS
Entity Type:Organization
Organization Name:NATIONAL CENTER FOR WEIGHT AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:202-223-3077
Mailing Address - Street 1:1020 19TH ST NW
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6101
Mailing Address - Country:US
Mailing Address - Phone:202-223-3077
Mailing Address - Fax:
Practice Address - Street 1:1020 19TH ST NW
Practice Address - Street 2:SUITE 450
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6101
Practice Address - Country:US
Practice Address - Phone:202-223-3077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000952103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty