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Organization
FACETS OF WELLNESS THERAPY LLC
Active
Organization
FACETS OF WELLNESS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MILLS LICSW (PRACTICE OWNER)
(612) 208-2358
Entity
Organization
Contact information
Practice address
8170 OLD CARRIAGE CT STE 200, SHAKOPEE, MN 55379-3169
(612) 208-2358
Mailing address
8170 OLD CARRIAGE CT STE 200, SHAKOPEE, MN 55379-3169
(612) 208-2358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
NULL
104100000X
Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
NULL
Other
Enumeration date
05/28/2026
Last updated
10/12/2026
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