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
—
—
2084P0800X
Psychiatry Physician
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/12/2024
Last updated
10/27/2025
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