# DAIZZE COLLECTIVE WELLNESS

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

## Provider details

- **NPI number:** 1831065747
- **Authorized official:** LATRICE D SIMS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (725) 599-2597

## Contact information

- **Practice address:** 9999 W KATIE AVE UNIT 2055, LAS VEGAS, NV 89147-8370
- **Practice address phone:** (725) 599-2597
- **Mailing address:** 9999 W KATIE AVE UNIT 2055, LAS VEGAS, NV 89147-8370
- **Mailing address phone:** (725) 599-2597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |

## Other

- **Enumeration date:** 10/16/2025
- **Last updated:** 10/16/2025