Healthcare Provider Details

I. General information

NPI: 1437946712
Provider Name (Legal Business Name): AUBREY LYNN WORKMAN MA, R-DMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 COUNTY ROAD D E STE B
MAPLEWOOD MN
55109-5358
US

IV. Provider business mailing address

8722 SUMMER WIND BAY
WOODBURY MN
55125-9128
US

V. Phone/Fax

Practice location:
  • Phone: 952-564-7445
  • Fax:
Mailing address:
  • Phone: 952-564-7445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225600000X
TaxonomyDance Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC05298
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: