Provider Demographics
NPI:1083055743
Name:ZEST OF LIFE, LLC.
Entity Type:Organization
Organization Name:ZEST OF LIFE, LLC.
Other - Org Name:DAWNA DAIGNEAULT
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWNA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:DAIGNEAULT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, EDS
Authorized Official - Phone:816-523-4440
Mailing Address - Street 1:8301 STATE LINE RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2025
Mailing Address - Country:US
Mailing Address - Phone:816-523-4440
Mailing Address - Fax:816-523-8782
Practice Address - Street 1:8301 STATE LINE RD
Practice Address - Street 2:SUITE 216
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2025
Practice Address - Country:US
Practice Address - Phone:816-523-4440
Practice Address - Fax:816-523-8782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008035324251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health