Healthcare Provider Details

I. General information

NPI: 1255271318
Provider Name (Legal Business Name): DENI URDA THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W MAIN ST
CARRBORO NC
27510-5736
US

IV. Provider business mailing address

1500 W MAIN ST PO BOX 92
CARRBORO NC
27510-5736
US

V. Phone/Fax

Practice location:
  • Phone: 919-230-1214
  • Fax:
Mailing address:
  • Phone: 919-230-1214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DENI URDA
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 919-230-1214