MEDICARE: SHELLEY RORVICK LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1780454256	OTHER	MN	NPI2
2	1063896355	OTHER		NPI 1

General Provider Information

NPI Number	:	1780454256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELLEY RORVICK LLC

Provider Business Mailing Address
First Line	:	306 WEST SUPERIOR STREET
Second Line	:	900 ALWORTH BUILDING
City	:	DULUTH
State	:	MN
Zip	:	55802
Country	:	US
Telephone Number	:	218-409-6456
Fax Number	:	218-203-5766

Provider Business Practice Location Address
First Line	:	306 WEST SUPERIOR STREET
Second Line	:	900 ALWORTH BUILDING
City	:	DULUTH
State	:	MN
Zip	:	55802
Country	:	US
Telephone Number	:	218-409-6456
Fax Number	:	218-203-5766

Authorized Official
Title or Position	:	OWNER/PSYCHOTHERAPIST
Name	:	SHELLEY RORVICK
Credential	:	LMFT
Telephone Number	:	218-409-6456

Provider Enumeration Date	:	01/05/2024
Last Update Date	:	01/12/2026

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Directions to “SHELLEY RORVICK LLC ” Practice Location

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