Provider Demographics
NPI:1326848151
Name:DUPUY PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:DUPUY PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUPUY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:540-742-0094
Mailing Address - Street 1:1727 6TH ST N
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-1795
Mailing Address - Country:US
Mailing Address - Phone:540-742-0094
Mailing Address - Fax:
Practice Address - Street 1:1727 6TH ST N
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-1795
Practice Address - Country:US
Practice Address - Phone:540-742-0094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)