NPI
Shelly Marie Davenport
NPI 1134166275
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MS, LMFT
- Type
- Individual
- Enumeration date
- 2006-05-31
- Last updated
- 2018-05-18
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Specialties
Licenses
- License MN
- 1139
Location
- Practice location
- 11141 Zealand Ave N
- City
- Champlin MN
- Postal code
- 55316
- Phone
- (763) 951-3091
- Fax
- (763) 951-3097
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Marriage and Family Therapists in Champlin, MN. 7 with this primary taxonomy in the public file.
Other NPIs in Champlin, MN. 339 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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