Provider Demographics
NPI:1942098454
Name:DUPREE, MICHAEL (RPSS)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:DUPREE
Suffix:
Gender:M
Credentials:RPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3107 HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:RACELAND
Mailing Address - State:LA
Mailing Address - Zip Code:70394-3652
Mailing Address - Country:US
Mailing Address - Phone:985-628-1009
Mailing Address - Fax:
Practice Address - Street 1:3107 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394-3652
Practice Address - Country:US
Practice Address - Phone:985-628-1009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOBHPSS1091171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator