Organization
THERAVADA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH RENE MCMANIS (OWNER)
(406) 600-7512
Entity
Organization
Contact information
Practice address
2504 W MAIN ST STE 2F, BOZEMAN, MT 59718-3966
(406) 595-3822
Mailing address
2504 W MAIN ST STE 2F, BOZEMAN, MT 59718-3966
(406) 595-3822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
10/13/2023
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