Provider Demographics
NPI:1780295162
Name:BELT, DAVID WILLIAM (PLMFT, LMFT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:WILLIAM
Last Name:BELT
Suffix:
Gender:M
Credentials:PLMFT, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 BELLEFONTAINE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64128-1949
Mailing Address - Country:US
Mailing Address - Phone:816-506-1869
Mailing Address - Fax:
Practice Address - Street 1:1501 W 42ND ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-4147
Practice Address - Country:US
Practice Address - Phone:816-506-1869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3055106H00000X
MO2019016872106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist