Meet Your Provider

---

Welcome to Mynd Mgmt! I'm Nicole Spence, PMHNP-BC, with over 13 years of nursing experience under my belt (yes, I’ve worn a few different hats, and scrubs), I’m dedicated to delivering compassionate, integrative, and patient-centered behavioral health care. My background spans emergency departments, family and sports medicine, dermatology, and urgent care, so I’ve seen a little bit of everything (and probably treated it, too). All of it has deepened my appreciation for how closely mental and physical health are connected.

For the past 3 years, I’ve been serving the community as a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), providing comprehensive psychiatric assessments and medication management, minus the judgment and clinical coldness.

My approach is rooted in genuine respect for each person’s story. I aim to create a space that feels safe, supportive, and just human enough to laugh when needed. Whether you’re navigating anxiety, depression, or just trying to make it through the week with your brain intact, I’m here to help you move toward balance, clarity, and better days ahead. 

Fun Fact:

I raised three ADHD boys, so yes, I speak fluent chaos and can find a missing shoe with clinical precision. You're in good hands.

Personal Philosophy

I believe in treating the whole person not just chasing symptoms around like we are playing medical whack-a-mole. My approach is evidence-based and individualized, tailored to each person’s unique genetic makeup, medical history, and how they've responded to treatment in the past.

Diagnostic labs play a crucial role in this process. They help uncover what’s happening under the hood, because let’s face it, if your body’s running on fumes, your brain probably isn’t firing on all cylinders either. Nutrient deficiencies, hormone imbalances, and other sneaky internal issues can seriously affect mental health.

By focusing on the connection between physical and mental well-being, I create personalized treatment plans that support both mind and body. It’s holistic care that aims for long-term wellness not just a quick fix. And while mental health is serious business, I believe we can still keep it human, relatable, and even a little lighthearted along the way.

Thank you for trusting me with your care. I look forward to partnering with you on your mental health journey.