Provider Demographics
NPI:1780712661
Name:BELMONT, ARTHUR H III (MS, LMFT, CATC)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:H
Last Name:BELMONT
Suffix:III
Gender:M
Credentials:MS, LMFT, CATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 N HIDDEN TREE DR
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5223
Mailing Address - Country:US
Mailing Address - Phone:888-787-1767
Mailing Address - Fax:888-788-2147
Practice Address - Street 1:288 N HIDDEN TREE DR
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5223
Practice Address - Country:US
Practice Address - Phone:888-787-1767
Practice Address - Fax:888-788-2147
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2233106H00000X
CAMFC35884106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020356800Medicaid