Theravada Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERAVADA THERAPY LLC

Practice address

2504 W Main St Ste 2F
Bozeman, MT 59718-3966

Phone

(406) 595-3822

NPI assigned

Jul 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mariah Rene McManis

Title

Owner

Phone

(406) 600-7512

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1275212151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 W MAIN ST STE 2F",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183966",
            "telephone_number": "406-595-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 W MAIN ST STE 2F",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183966",
            "telephone_number": "406-595-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAVADA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "MCMANIS",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-600-7512"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Pink Tent, LLC
• The Vine Kids Dental
• The Willow Counseling Collective, LLC
• Alyson Anne Thede, MD
• Sarah Jane Thelen, OT
• Thomas Family Chiropractic, Inc.
• Amy D Thomas, D.C.
• Anne Marie Thomas, MD
• Justin Daniel Thomas, M.D.
• Abigail Lynn Thompson

• All providers in Bozeman, MT
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.