Healthcare Provider Details

I. General information

NPI: 1700736469
Provider Name (Legal Business Name): THE PURPLE ELEPHANT FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4765 PRIMROSE PL
ROCKY MOUNT NC
27804-2943
US

IV. Provider business mailing address

4765 PRIMROSE PL
ROCKY MOUNT NC
27804-2943
US

V. Phone/Fax

Practice location:
  • Phone: 252-908-5759
  • Fax:
Mailing address:
  • Phone: 252-908-5759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. PAULA R BOBBITT
Title or Position: PRESIDENT
Credential:
Phone: 252-908-5759