# FAMILY RENEWED, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dawn M. Porter, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225404551
- **Authorized official:** DR. DAWN MICHELLE PORTER MD (FOUNDER/CEO)
- **Authorized official phone:** (913) 461-0369

## Contact information

- **Practice address:** 1004 PEBBLE BEACH DR, CASEYVILLE, IL 62232-2834
- **Practice address phone:** (913) 461-0369
- **Practice address fax:** (913) 461-0832
- **Mailing address:** 1004 PEBBLE BEACH DR, CASEYVILLE, IL 62232-2834
- **Mailing address phone:** (913) 461-0369
- **Mailing address fax:** (913) 461-0832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 113680 | MO | Yes |

## Other

- **Enumeration date:** 08/21/2015
- **Last updated:** 08/21/2015