=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881551679
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PROMISE PATHWAYS CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/05/2026
-----------------------------------------------------
Last Update Date | 01/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 819 N WENDOVER RD STE 220071
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28211-1120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 980-428-6061
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 819 N WENDOVER RD STE 220071
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28211-1120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 980-428-6061
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER & CEO
-----------------------------------------------------
Name | LEEAH JAMES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 980-428-6061
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320600000X
-----------------------------------------------------
Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------