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Contact Information

DAIZZE COLLECTIVE WELLNESS
9999 W KATIE AVE UNIT 2055
LAS VEGAS, NV89147-8370
 Phone: 725-599-2597
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Health & Wellness Coach

171400000X
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for DAIZZE COLLECTIVE WELLNESS

NPI # 1831065747
LBN Legal business name DAIZZE COLLECTIVE WELLNESS
Authorized official LATRICE SIMS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2025
Last updated 10/16/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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