Organization
LUMINARY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE XANDERS-DANLER PMHNP-BC (OWNER)
(316) 260-7900
Entity
Organization
Contact information
Practice address
425 N BALTIMORE AVE STE 5, DERBY, KS 67037-1625
(316) 260-7900
Mailing address
PO BOX 834, DERBY, KS 67037-0834
(316) 260-7900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
03/07/2023
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