Theravada Therapy LLC
Social Worker, Clinical in Bozeman, MT. Organization (NPI-2).
NPI number1275212151
StatusActive
Last updated in NPPESOct 13, 2023
Details
- NPI
- 1275212151
- Entity type
- Organization (NPI-2)
- Legal business name
- Theravada Therapy LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2023
- Certification date
- Oct 13, 2023
- Last updated
- Oct 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2504 W Main St Ste 2fBozeman, MT 59718-3966
Phone 406-595-3822
Mailing address
2504 W Main St Ste 2fBozeman, MT 59718-3966
Phone 406-595-3822
Authorized official
Mariah Rene McManis
Owner
4066007512
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