Provider Demographics
NPI:1316754286
Name:PROMISING POTENTIAL SERVICES LLC
Entity type:Organization
Organization Name:PROMISING POTENTIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RADHIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTHAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, LBS
Authorized Official - Phone:412-877-0465
Mailing Address - Street 1:1303 FOLKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1927
Mailing Address - Country:US
Mailing Address - Phone:412-877-0465
Mailing Address - Fax:
Practice Address - Street 1:1303 FOLKSTONE DRIVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1927
Practice Address - Country:US
Practice Address - Phone:412-877-0465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-14
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health