Healthcare Provider Details

I. General information

NPI: 1154244721
Provider Name (Legal Business Name): EMPLOY DIRECT GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 CUNNINGHAM PKWY
BELTON MO
64012-2163
US

IV. Provider business mailing address

124 CUNNINGHAM PKWY
BELTON MO
64012-2163
US

V. Phone/Fax

Practice location:
  • Phone: 816-382-1050
  • Fax: 816-382-1050
Mailing address:
  • Phone: 816-382-1050
  • Fax: 816-382-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LYDIA JOHNSON
Title or Position: CHIEF ADMINISTRATION OFFICER
Credential: JOHNSON
Phone: 816-207-9244