Provider Demographics
NPI:1811764145
Name:BELONG MARRIAGE AND FAMILY THERAPY LLC
Entity type:Organization
Organization Name:BELONG MARRIAGE AND FAMILY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SLEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:458-899-7032
Mailing Address - Street 1:PO BOX 234
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-0038
Mailing Address - Country:US
Mailing Address - Phone:458-899-7032
Mailing Address - Fax:
Practice Address - Street 1:224 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2151
Practice Address - Country:US
Practice Address - Phone:458-899-7032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty