Beacon Therapy Associates, PC

NPI #1407084031 in Champlin, Minnesota

Provider Information

NPI Number
1407084031
Entity Type
Organization
Organization Name
Beacon Therapy Associates, PC
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Jun 22, 2009
Last Updated
May 18, 2018

Practice Location

Address
11141 ZEALAND AVE N
ZIP Code
55316
Phone
(763) 951-3091

Authorized Official

Name
SHELLY MARIE DAVENPORT, MS, LMFT
Title
PRESIDENT/THERAPIST
Phone
(763) 528-5235

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional
Community/Behavioral Health
Social Worker - ClinicalClinical
Registered Nurse - Psychiatric/Mental Health, Child & AdolescentPsychiatric/Mental Health, Child & Adolescent
Marriage & Family Therapist

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