MEDICARE: ZEN HEALTH MO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1558226555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZEN HEALTH MO LLC

Provider Business Mailing Address
First Line	:	4 E FRANKLIN ST
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-1704
Country	:	US
Telephone Number	:	773-349-6385
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 E FRANKLIN ST
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-1704
Country	:	US
Telephone Number	:	773-349-6385
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABE SIEGAL
Credential	:
Telephone Number	:	773-349-6385

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	01/12/2026

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Directions to “ZEN HEALTH MO LLC ” Practice Location

Language	Start Address	Practice Location

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