Healthcare Provider Details

I. General information

NPI: 1558087387
Provider Name (Legal Business Name): VICTORIA LYNN NOHL LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2022
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 EXCELSIOR BLVD STE 215
MINNEAPOLIS MN
55416-5274
US

IV. Provider business mailing address

3201 E 51ST ST
MINNEAPOLIS MN
55417-1442
US

V. Phone/Fax

Practice location:
  • Phone: 612-979-2276
  • Fax:
Mailing address:
  • Phone: 612-203-0394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC05713
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: