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Organization
MY RESTORED BALANCE LLC
Active
Organization
MY RESTORED BALANCE LLC
Active
Other names
Freedom Behavioral Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DAHMM NP (OWNER)
(314) 766-7065
Entity
Organization
Contact information
Practice address
202 N DIVISION ST, BONNE TERRE, MO 63628-1228
(573) 604-4167
(866) 811-7475
Mailing address
202 N DIVISION ST, BONNE TERRE, MO 63628-1228
(573) 604-4167
(866) 811-7475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/16/2024
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