MEDICARE: MARCUS DUSHAWN DUPREE SR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	106E00000X	Assistant Behavior Analyst
3	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1568128916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCUS DUSHAWN DUPREE SR.

Provider Business Mailing Address
First Line	:	774 SEA ISLAND PKWY UNIT 92
Second Line	:
City	:	SAINT HELENA ISLAND
State	:	SC
Zip	:	29920-1804
Country	:	US
Telephone Number	:	843-592-8535
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 SATURN CT
Second Line	:
City	:	SAINT HELENA ISLAND
State	:	SC
Zip	:	29920-6131
Country	:	US
Telephone Number	:	843-592-6585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2021
Last Update Date	:	11/10/2021

Similar Medicare Providers

1447243852 — DR. DENNIS CARL RYCZEK O.D.
Practice Location Address:

5412 CENTRAL AVE
SAINT PETERSBURG, FL
33707-6131

Practice Phone: 727-327-8855
Practice Fax: 727-323-0720

1831120765 — RYCZEK EYE ASSOCIATES PA
Practice Location Address:

5412 CENTRAL AVE
SAINT PETERSBURG, FL
33707-6131

Practice Phone: 727-327-8855
Practice Fax: 727-323-0720

1770680357 — DR. JEFFREY D SOLOMON DPM
Practice Location Address:

6131 SAINT CLAIR AVE
CLEVELAND, OH
44103-1627

Practice Phone: 718-387-7628
Practice Fax:

1225618085 — ELIZABETH RUSSELL OTR/L
Practice Location Address:

6131 LEONA ST
SAINT LOUIS, MO
63116-2922

Practice Phone: 314-481-8585
Practice Fax:

1861448896 — LARISA MALISOVA DO
Practice Location Address:

420 LYNDALE AVE
STATEN ISLAND, NY
10312-6131

Practice Phone: 718-967-5630
Practice Fax:

1376580662 — DR. DONNA P SEMINARA MD
Practice Location Address:

420 LYNDALE AVE
STATEN ISLAND, NY
10312-6131

Practice Phone: 718-967-5630
Practice Fax: 718-967-7099

Directions to “ MARCUS DUSHAWN DUPREE SR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.