# MY RESTORED BALANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Freedom Behavioral Health Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154156776
- **Authorized official:** MARY DAHMM NP (OWNER)
- **Authorized official phone:** (314) 766-7065

## Contact information

- **Practice address:** 202 N DIVISION ST, BONNE TERRE, MO 63628-1228
- **Practice address phone:** (573) 604-4167
- **Practice address fax:** (866) 811-7475
- **Mailing address:** 202 N DIVISION ST, BONNE TERRE, MO 63628-1228
- **Mailing address phone:** (573) 604-4167
- **Mailing address fax:** (866) 811-7475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 09/16/2024