# PURPLE HOUSE PROJECT PA INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174359798
- **Authorized official:** CHRISTINE J BRUNSON LSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (267) 332-6141

## Contact information

- **Practice address:** 2532 N BROAD ST, PHILADELPHIA, PA 19132-4013
- **Practice address phone:** (480) 754-9564
- **Mailing address:** 114 STALEY AVE, COLLINGDALE, PA 19023-1917
- **Mailing address phone:** (267) 332-6141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2024
- **Last updated:** 09/10/2024