MEDICARE: TRAUMAZEN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1497647846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAUMAZEN LLC

Provider Business Mailing Address
First Line	:	3172 N RAINBOW BLVD STE 1125
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4534
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5425 GENEIVE LN UNIT 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-3573
Country	:	US
Telephone Number	:	323-945-9724
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHERYL V HARRIS
Credential	:
Telephone Number	:	323-945-9724

Provider Enumeration Date	:	07/18/2025
Last Update Date	:	07/18/2025

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Directions to “TRAUMAZEN LLC ” Practice Location

Language	Start Address	Practice Location

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