Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evo Body Image, LLC

Organization Registered Dietitian · NPI 1821768649

Evo Body Image, LLC is a Registered Dietitian in Birmingham, Michigan. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

950 E Maple Rd Ste L10
Birmingham, MI 48009-6482
Phone: (248) 595-2363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1821768649
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sidra Elia — Organizer · (248) 595-2363
NPI enumeratedSeptember 14, 2021
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021
Mailing address6642 Leytonstone Blvd, West Bloomfield, MI 48322-1200

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