Provider Demographics
NPI:1134918451
Name:LUXE BIRTHING SOLUTIONS
Entity type:Organization
Organization Name:LUXE BIRTHING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SENORIA
Authorized Official - Middle Name:SHANTE
Authorized Official - Last Name:WALLICAN-NESBIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-493-7889
Mailing Address - Street 1:1542 FLAMMANG DR STE 1040
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-4370
Mailing Address - Country:US
Mailing Address - Phone:319-493-7889
Mailing Address - Fax:319-444-8093
Practice Address - Street 1:4233 MOURNING DOVE DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-6128
Practice Address - Country:US
Practice Address - Phone:319-493-7889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health