Healthcare Provider Details

I. General information

NPI: 1922987825
Provider Name (Legal Business Name): THE BIRTH COLLABORATIVE LAS VEGAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1590 SOMBRERO DR
LAS VEGAS NV
89169-2523
US

IV. Provider business mailing address

1590 SOMBRERO DR
LAS VEGAS NV
89169-2523
US

V. Phone/Fax

Practice location:
  • Phone: 702-524-9705
  • Fax:
Mailing address:
  • Phone: 702-524-9705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MS. JOLLINA SIMPSON
Title or Position: FOUNDER
Credential:
Phone: 702-524-9705