Healthcare Provider Details
I. General information
NPI: 1285524066
Provider Name (Legal Business Name): BEHOLD COUNSELING - MARRIAGE AND FAMILY THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/03/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19712 MACARTHUR BLVD STE 110
IRVINE CA
92612-2407
US
IV. Provider business mailing address
19712 MACARTHUR BLVD STE 110
IRVINE CA
92612-2407
US
V. Phone/Fax
- Phone: 562-614-2320
- Fax: 888-830-5249
- Phone: 562-614-2320
- Fax: 888-830-5249
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KELLEY
KUIT
Title or Position: THERAPIST
Credential: LMFT
Phone: 626-321-7796