Provider Demographics
NPI:1740653351
Name:KANSAS CITY LIFECOACHES
Entity type:Organization
Organization Name:KANSAS CITY LIFECOACHES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:GABBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:816-309-5626
Mailing Address - Street 1:8080 WARD PKWY
Mailing Address - Street 2:SUITE 405
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2034
Mailing Address - Country:US
Mailing Address - Phone:816-309-5626
Mailing Address - Fax:
Practice Address - Street 1:1001 E 101ST TER STE 240
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-3368
Practice Address - Country:US
Practice Address - Phone:816-945-2277
Practice Address - Fax:816-895-3975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012019758101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty