Healthcare Provider Details

I. General information

NPI: 1457718587
Provider Name (Legal Business Name): JULIE MORIN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 CAMPUS DR STE E180
PLYMOUTH MN
55441-2743
US

IV. Provider business mailing address

3033 CAMPUS DR STE E180
PLYMOUTH MN
55441-2743
US

V. Phone/Fax

Practice location:
  • Phone: 952-460-9031
  • Fax:
Mailing address:
  • Phone: 952-460-9031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC01146
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: