Provider Demographics
NPI:1336226513
Name:BELT-KELL, DEBORAH (LMFT, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:BELT-KELL
Suffix:
Gender:F
Credentials:LMFT, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TCMH ANNEX - MENTAL HEALTH
Mailing Address - Street 2:1333 S SAM HOUSTON BLVD
Mailing Address - City:HOUSTON
Mailing Address - State:MO
Mailing Address - Zip Code:65483
Mailing Address - Country:US
Mailing Address - Phone:417-967-1322
Mailing Address - Fax:417-967-1335
Practice Address - Street 1:TCMH ANNEX - MENTAL HEALTH
Practice Address - Street 2:1333 S SAM HOUSTON BLVD
Practice Address - City:HOUSTON
Practice Address - State:MO
Practice Address - Zip Code:65483
Practice Address - Country:US
Practice Address - Phone:417-967-1322
Practice Address - Fax:417-967-1335
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003031287101YP2500X
MO300019106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO631499OtherCOVENTRY
MO498583OtherVALUE OPTIONS
MO2171765OtherCIGNA
MO220356OtherANTHEM/BLUE CROSS
MO43088792865483A060OtherTRICARE
MO552541OtherHEALTHLINK
MO000381154OtherUNITED BEHAVIORAL HEALTH
MO235041OtherCOMPSYCH
MO499065605Medicaid
MO346064000OtherMAGELLAN