| Desert Soul Wellness Llc | |
|
1070 W Horizon Ridge Pkwy Ste 100 Henderson NV 89012-6019 | |
| (702) 851-1990 | |
| Not Available |
| Full Name | Desert Soul Wellness Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1070 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada |
| Authorized Official Name and Position | Carly K Shadid (OWNER) |
| Authorized Official Contact | 6025094999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Soul Wellness Llc 4464 De Forest St Las Vegas NV 89103-4209 Ph: (602) 509-4999 | Desert Soul Wellness Llc 1070 W Horizon Ridge Pkwy Ste 100 Henderson NV 89012-6019 Ph: (702) 851-1990 |
| NPI Number | 1295529089 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295529089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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