Healthcare Provider Details

I. General information

NPI: 1316824998
Provider Name (Legal Business Name): BELIEVE IN YOURSELF THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4690 MILLENNIUM DR STE 314
BELCAMP MD
21017-1527
US

IV. Provider business mailing address

PO BOX 767
NORTH EAST MD
21901-0767
US

V. Phone/Fax

Practice location:
  • Phone: 443-722-0249
  • Fax: 410-275-3551
Mailing address:
  • Phone: 443-256-5892
  • Fax: 410-275-3551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHANIKA MCCALLUM-COPPAGE
Title or Position: CEO
Credential:
Phone: 443-722-0249