Organization
LAKESHORE FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY LEE ROSE LMFT (OWNER)
(651) 231-7471
Entity
Organization
Contact information
Practice address
3701 SHORELINE DR STE 102A, WAYZATA, MN 55391-4000
(651) 231-7471
Mailing address
3701 SHORELINE DR STE 102A, WAYZATA, MN 55391-4000
(651) 231-7471
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
05/19/2025
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