Healthcare Provider Details

I. General information

NPI: 1669398376
Provider Name (Legal Business Name): THE PROMISE OF POTENTIAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9745 HOTEL RD
BISHOPVILLE MD
21813-1225
US

IV. Provider business mailing address

26670 CENTERVIEW DR UNIT 13
MILLSBORO DE
19966-3584
US

V. Phone/Fax

Practice location:
  • Phone: 484-226-9560
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LA'TOYA THOMAS
Title or Position: OWNER
Credential:
Phone: 484-226-9560