Provider Demographics
NPI:1700464914
Name:PROMISING SUPPORT SERVICES LLC
Entity Type:Organization
Organization Name:PROMISING SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRON-HORNSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-501-9885
Mailing Address - Street 1:3402 CORNWALL SQUARE DR APT 104
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-3531
Mailing Address - Country:US
Mailing Address - Phone:813-501-9885
Mailing Address - Fax:
Practice Address - Street 1:3402 CORNWALL SQUARE DR APT 104
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-3531
Practice Address - Country:US
Practice Address - Phone:813-501-9885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities