Organization
DESERT SOUL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY K SHADID MFT (OWNER)
(602) 509-4999
Entity
Organization
Contact information
Practice address
1070 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89012-6019
(702) 851-1990
Mailing address
4464 DE FOREST ST, LAS VEGAS, NV 89103-4209
(602) 509-4999
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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