Beacon Therapy Associates, Pc

LBN: Beacon Therapy Associates, Pc
Beacon Therapy Associates, Pc is an health care organization with primary practice located at 11141 Zealand Ave N , Champlin MN 55316. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Beacon Therapy Associates, Pc can be contacted via phone (763) 951-3091, or through Davenport, Shelly Marie via phone (763) 528-5235.

Contact Information

Primary practice address
11141 Zealand Ave N Champlin MN 55316
Phone: (763) 951-3091
Fax: (763) 951-3097
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Shelly Marie MS, LMFT
Phone: (763) 528-5235

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1407084031
LBN Legal business name Beacon Therapy Associates, Pc
DBA Doing business as
Authorized official Davenport, Shelly Marie MS, LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2009
Last updated May 18th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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