# SOUL CENTERED THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Experience Healing, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831953645
- **Authorized official:** MRS. NICOLE LYNN CASEY LMFT (FOUNDER)
- **Authorized official phone:** (612) 242-6338

## Contact information

- **Practice address:** 4959 OLSON MEMORIAL HWY STE B, GOLDEN VALLEY, MN 55422-5159
- **Practice address phone:** (612) 242-6338
- **Mailing address:** 4959 OLSON MEMORIAL HWY STE B, GOLDEN VALLEY, MN 55422-5159
- **Mailing address phone:** (612) 242-6338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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