# GOLDEN SOUL PSYCHOTHERAPY AND WELLNESS

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

## Provider details

- **NPI number:** 1306395967
- **Authorized official:** NICHOLE SCHOR MFT (OWNER)
- **Authorized official phone:** (702) 685-0674

## Contact information

- **Practice address:** 4425 S JONES BLVD STE D3, LAS VEGAS, NV 89103-3370
- **Practice address phone:** (702) 685-0674
- **Practice address fax:** (702) 566-4575
- **Mailing address:** 4425 S JONES BLVD STE D3, LAS VEGAS, NV 89103-3370
- **Mailing address phone:** (702) 685-0674
- **Mailing address fax:** (702) 566-4575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | IP151204002 | NV | Yes |

## Other

- **Enumeration date:** 09/23/2016
- **Last updated:** 09/23/2016