Provider Demographics
NPI:1023773918
Name:HOPE CHRISTIAN THERAPY SERVICES
Entity type:Organization
Organization Name:HOPE CHRISTIAN THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MFT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELSBY
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN; THM; MDIV
Authorized Official - Phone:818-521-6477
Mailing Address - Street 1:11423 N EMERALD DR
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-7322
Mailing Address - Country:US
Mailing Address - Phone:818-521-6477
Mailing Address - Fax:
Practice Address - Street 1:35317 S ROCK LAKE RD
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-5167
Practice Address - Country:US
Practice Address - Phone:818-521-6477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA32075OtherLMFT