Healthcare Provider Details

I. General information

NPI: 1033033840
Provider Name (Legal Business Name): VITA PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 SE 2ND ST STE B
LEES SUMMIT MO
64063-2629
US

IV. Provider business mailing address

26 NE SHOREVIEW DR
LEES SUMMIT MO
64064-1513
US

V. Phone/Fax

Practice location:
  • Phone: 816-327-2305
  • Fax: 816-207-0481
Mailing address:
  • Phone: 816-327-2305
  • Fax: 816-207-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLE CRAIG
Title or Position: OWNER
Credential: MD
Phone: 816-813-7361