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
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/16/2024
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