=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073281606
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BELIEF IN ME COUNSELING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2021
-----------------------------------------------------
Last Update Date | 09/06/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2001 N FRONT ST STE 116
-----------------------------------------------------
City | HARRISBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17102-2179
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-888-7661
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2001 N FRONT ST STE 116
-----------------------------------------------------
City | HARRISBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17102-2179
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-678-5260
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. COREY S BURTON
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 267-626-7917
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------