Healthcare Provider Details

I. General information

NPI: 1417804741
Provider Name (Legal Business Name): OUR PROMISE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N CANNON BLVD STE 109
KANNAPOLIS NC
28083-4078
US

IV. Provider business mailing address

700 N CANNON BLVD STE 109
KANNAPOLIS NC
28083-4078
US

V. Phone/Fax

Practice location:
  • Phone: 704-371-1371
  • Fax: 704-257-8617
Mailing address:
  • Phone: 704-371-1371
  • Fax: 704-257-8617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MISS TEARNEY BEAM
Title or Position: OWNER
Credential: LCSWA, LCASA
Phone: 704-389-0058