# DESERT SOUL WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295529089
- **Authorized official:** CARLY K SHADID MFT (OWNER)
- **Authorized official phone:** (602) 509-4999

## Contact information

- **Practice address:** 1070 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89012-6019
- **Practice address phone:** (702) 851-1990
- **Mailing address:** 1070 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89012-6019
- **Mailing address phone:** (702) 850-1991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2025
- **Last updated:** 06/09/2026