Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Lane Re, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1023820073

Jessica Lane Re, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Gladstone, Missouri. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

305 NW Englewood Ct Ste 300
Gladstone, MO 64118-4000
Phone: (754) 300-3120
Fax: (888) 919-4431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1023820073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Belina Surujon — Vp Contracting & Licensing · (305) 785-5520
Other names The Recovery Village Kansas City; The Recovery Village Kansas City Outpatient Center
NPI enumeratedJanuary 24, 2025
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address2200 N Commerce Pkwy Ste 200, Weston, FL 33326-3258

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