Family Renewed, LLC
Family Renewed, LLC is a Child & Adolescent Psychiatry Physician in Caseyville, Illinois. Licensed in Missouri. Registered with an NPI since 2015.
- Licensed in
- MO
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1004 Pebble Beach DrCaseyville, IL 62232-2834
Phone: (913) 461-0369
Fax: (913) 461-0832
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X · Licence 113680 (MO) |
|---|
Record details
| NPI number | 1225404551 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dawn Porter — Founder/Ceo · (913) 461-0369 |
| Other names | Dawn M. Porter, Md |
| NPI enumerated | August 21, 2015 |
| Last updated in NPPES | August 21, 2015 |
| Mailing address | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 |