Organization
PURPLE CANOPY LLC
Active
Organization
PURPLE CANOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE DAUVAL (DIRECTOR)
(978) 500-0771
Entity
Organization
Contact information
Practice address
10205 US HIGHWAY 15 501 UNIT 26-270, SOUTHERN PINES, NC 28387-5179
(910) 660-1900
(855) 895-5224
Mailing address
10205 US HIGHWAY 15 501 UNIT 26-270, SOUTHERN PINES, NC 28387-5179
(910) 660-1900
(855) 895-5224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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