Organization
LUXE BEHAVIORAL HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SENORIA SHANTE WALLICAN-NESBIT (DIRECTOR)
(319) 493-7889
Entity
Organization
Contact information
Practice address
158 SAINT CROIX DR, WATERLOO, IA 50703
(319) 493-7889
Mailing address
1542 FLAMMANG DR STE 1040, WATERLOO, IA 50702-4370
(319) 493-7889
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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