Provider Demographics
NPI:1255699690
Name:DUPREE, ELLIOTT (LPC)
Entity type:Individual
Prefix:MR
First Name:ELLIOTT
Middle Name:
Last Name:DUPREE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8633 W AIRPORT BLVD
Mailing Address - Street 2:103
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2479
Mailing Address - Country:US
Mailing Address - Phone:713-988-3900
Mailing Address - Fax:
Practice Address - Street 1:8633 W AIRPORT BLVD
Practice Address - Street 2:103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2479
Practice Address - Country:US
Practice Address - Phone:713-988-3900
Practice Address - Fax:832-201-7872
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61963101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health