Healthcare Provider Details

I. General information

NPI: 1679331946
Provider Name (Legal Business Name): PROMISING FUTURES THERAPEUTIC SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 01/07/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 LENOIR DR
SPRING LAKE NC
28390-1699
US

IV. Provider business mailing address

5025 MORGANTON RD STE.10C, #1316
FAYETTEVILLE NC
28314
US

V. Phone/Fax

Practice location:
  • Phone: 919-283-9025
  • Fax:
Mailing address:
  • Phone: 919-283-9025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROSEMARY SHEPARD
Title or Position: FOUNDER
Credential:
Phone: 919-283-9025