Provider Demographics
NPI:1811213325
Name:PROMISES INC
Entity Type:Organization
Organization Name:PROMISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:REX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-270-0005
Mailing Address - Street 1:505 NE 46
Mailing Address - Street 2:UPPER
Mailing Address - City:OKC
Mailing Address - State:OK
Mailing Address - Zip Code:73105
Mailing Address - Country:US
Mailing Address - Phone:405-270-0005
Mailing Address - Fax:405-270-0956
Practice Address - Street 1:505 NE 46TH ST
Practice Address - Street 2:UPPER
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-3314
Practice Address - Country:US
Practice Address - Phone:405-270-0005
Practice Address - Fax:405-270-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4223251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health