My Restored Balance LLC
NPI #1154156776 in Bonne Terre, Missouri
Provider Information
- NPI Number
- 1154156776
- Entity Type
- Organization
- Organization Name
- My Restored Balance LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Sep 4, 2024
- Last Updated
- Sep 16, 2024
Practice Location
- Address
- 202 N DIVISION ST
- City
- Bonne Terre
- State
- Missouri
- ZIP Code
- 63628-1228
- Phone
- (573) 604-4167
Authorized Official
- Name
- MARY DAHMM, NP
- Title
- OWNER
- Phone
- (314) 766-7065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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