Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeshore Family Therapy LLC

Organization Marriage & Family Therapist · NPI 1699179994

Lakeshore Family Therapy LLC is a Marriage & Family Therapist in Wayzata, Minnesota. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3701 Shoreline Dr Ste 102A
Wayzata, MN 55391-4000
Phone: (651) 231-7471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1699179994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Rose — Owner · (651) 231-7471
NPI enumeratedOctober 15, 2014
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address3701 Shoreline Dr Ste 102a, Wayzata, MN 55391-4000

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