BELLALUNA BEHAVIORAL HEALTH PLLC NPI 1164131504

NPI Information

  • NPI: 1164131504
  • Provider Name: BELLALUNA BEHAVIORAL HEALTH, PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 3120 KIMBALL AVE STE C
    WATERLOO, IA
    ZIP 50702
  • Phone: (641) 330-7671

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NPI Details

BELLALUNA BEHAVIORAL HEALTH, PLLC is a psychiatric/mental health nurse practitioner in Waterloo, IA. BELLALUNA BEHAVIORAL HEALTH, PLLC NPI is 1164131504. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3120 KIMBALL AVE STE C
WATERLOO, IA
ZIP 50702-272
Phone: (641) 330-7671

The provider's authorized official is Cassy Jo Lensing .
The authorized official title is Owner and has the following contact phone number (641) 330-7671.

The enumeration date for this NPI number is 11/15/2022 and was last updated on 11/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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