Healthcare Provider Details

I. General information

NPI: 1023142379
Provider Name (Legal Business Name): WESTERN YOUTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 09/25/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17011 BEACH BLVD SUITE 300
HUNTINGTON BEACH CA
92647
US

IV. Provider business mailing address

17011 BEACH BLVD SUITE 300
HUNTINGTON BEACH CA
92647
US

V. Phone/Fax

Practice location:
  • Phone: 714-378-2620
  • Fax: 714-378-2631
Mailing address:
  • Phone: 714-378-2620
  • Fax: 714-378-2631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LORRY LEIGH BELHUMEUR
Title or Position: CEO
Credential: PH.D.
Phone: 949-855-1556