SHIRLEEN KAY ROACH LAMFT NPI 1205347465

NPI Information

  • NPI: 1205347465
  • Provider Name: SHIRLEEN KAY ROACH, LAMFT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 17305 MEADOW CREEK LANE
    PINE CITY, MN
    ZIP 55063
  • Phone: (763) 444-4838

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NPI Details

Shirleen Kay Roach, LAMFT is a mental health counselor in Pine City, MN. Shirleen Kay Roach, LAMFT NPI is 1205347465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17305 MEADOW CREEK LANE
PINE CITY, MN
ZIP 55063
Phone: (763) 444-4838

The enumeration date for this NPI number is 10/16/2017 and was last updated on 10/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health3302MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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