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Organization
SOULFULLY REWRITTEN THERAPY
Active
Organization
SOULFULLY REWRITTEN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRITTNI A INGVALDSON MA, LPCC, LADC (OWNER/MENTAL HEALTH THERAPIST)
(952) 314-4449
Entity
Organization
Contact information
Practice address
6600 CITY WEST PKWY STE 125, EDEN PRAIRIE, MN 55344-3261
(952) 314-4449
Mailing address
6600 CITY WEST PKWY STE 125, EDEN PRAIRIE, MN 55344-3261
(952) 314-4449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
04/30/2025
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