Provider Demographics
NPI:1710556493
Name:RUPE, DEMPSEY BELLE (MSW, LSW 15271)
Entity Type:Individual
Prefix:MS
First Name:DEMPSEY
Middle Name:BELLE
Last Name:RUPE
Suffix:
Gender:F
Credentials:MSW, LSW 15271
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 PAYNE RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-3140
Mailing Address - Country:US
Mailing Address - Phone:740-444-3981
Mailing Address - Fax:
Practice Address - Street 1:69 BAY BRIDGE DR STE G
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4468
Practice Address - Country:US
Practice Address - Phone:850-972-8193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15271101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health