Organization
DAIZZE COLLECTIVE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICE D SIMS (EXECUTIVE DIRECTOR)
(725) 599-2597
Entity
Organization
Contact information
Practice address
9999 W KATIE AVE UNIT 2055, LAS VEGAS, NV 89147-8370
(725) 599-2597
Mailing address
9999 W KATIE AVE UNIT 2055, LAS VEGAS, NV 89147-8370
(725) 599-2597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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