Healthcare Provider Details

I. General information

NPI: 1881572246
Provider Name (Legal Business Name): PROMISED PLACE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E JEFFERSON ST
DILLON SC
29536-3020
US

IV. Provider business mailing address

600 E JEFFERSON ST
DILLON SC
29536-3020
US

V. Phone/Fax

Practice location:
  • Phone: 843-472-9609
  • Fax: 843-472-9609
Mailing address:
  • Phone: 843-472-9609
  • Fax: 843-472-9609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
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: MRS. TANESHA LEONARD
Title or Position: OWNER, OPERATOR
Credential:
Phone: 843-472-9609