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Organization
SOUL CENTERED THERAPY, LLC
Active
Organization
SOUL CENTERED THERAPY, LLC
Active
Other names
Experience Healing, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE LYNN CASEY LMFT (FOUNDER)
(612) 242-6338
Entity
Organization
Contact information
Practice address
4959 OLSON MEMORIAL HWY STE B, GOLDEN VALLEY, MN 55422-5159
(612) 242-6338
Mailing address
4959 OLSON MEMORIAL HWY STE B, GOLDEN VALLEY, MN 55422-5159
(612) 242-6338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
253Z00000X
In Home Supportive Care Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/12/2024
Last updated
10/27/2025
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