OrganizationActive
Beacon Therapy Associates, PC
NPI 1407084031 · Marriage & Family Therapist · Champlin, MN
Provider details
- NPI number
- 1407084031
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shelly Davenport, President/Therapist(763) 528-5235
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Nursing Service Providers
Practice location
11141 Zealand Ave N
Champlin, MN 55316
Phone: (763) 951-3091
Fax: (763) 951-3097
Approximate (ZIP-level) locationGet directions
Mailing address
11141 Zealand Ave N
Champlin, MN 55316-3595
Additional practice locations (5)
- 543 Coon Rapids Blvd NwCoon Rapids, MN 55433-5500Phone: (763) 951-3091Fax: (763) 951-3097
- 299 Coon Rapids Blvd NwCoon Rapids, MN 55433-5832Phone: (763) 951-3091Fax: (763) 951-3097
- 3101 Old Highway 8Roseville, MN 55113-1072Phone: (763) 951-3091Fax: (763) 951-3097
- 4501 Allendale DrSaint Paul, MN 55127-6349Phone: (763) 951-3091Fax: (763) 951-3097
- 700 Twelve Oaks Center DrWayzata, MN 55391-4401Phone: (763) 951-3091Fax: (763) 951-3097
Registry dates
- Enumerated
- 2009-06-22
- Last updated
- 2018-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.