Healthcare Provider Details

I. General information

NPI: 1982527289
Provider Name (Legal Business Name): VELVET NOIRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 WALKER RD
DOVER DE
19904-6539
US

IV. Provider business mailing address

603 PLYMOUTH RD
FELTON DE
19943-6153
US

V. Phone/Fax

Practice location:
  • Phone: 302-730-2500
  • Fax:
Mailing address:
  • Phone: 302-725-9084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMARA MARIA PURNELL
Title or Position: OWNER
Credential: LMT
Phone: 302-725-9084