MEDICARE: THERAVADA MENTAL HEALTH MO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1952277394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAVADA MENTAL HEALTH MO LLC

Provider Business Mailing Address
First Line	:	8353 GRESHAM DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2351
Country	:	US
Telephone Number	:	702-767-0555
Fax Number	:	702-974-4677

Provider Business Practice Location Address
First Line	:	2800 W 76 COUNTRY BLVD STE 200
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-2291
Country	:	US
Telephone Number	:	702-767-0555
Fax Number	:	702-974-4677

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA LEE HASS
Credential	:	LCSW
Telephone Number	:	702-767-0555

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	02/03/2026

Similar Medicare Providers

1356225015 — BLUEBIRD CARE GROUP LLC
Practice Location Address:

2800 W 76 COUNTRY BLVD STE 200
BRANSON, MO
65616-2291

Practice Phone: 417-414-0999
Practice Fax:

1831192624 — DR. JOHN L MCCARVILLE JR. DO
Practice Location Address:

525 BRANSON LANDING BLVD STE 408
BRANSON, MO
65616-2192

Practice Phone: 417-348-8313
Practice Fax: 417-335-7230

1174527162 — ADVANCED ORTHOTICS AND PROSTHETICS
Practice Location Address:

215 S 2ND ST , STE C
BRANSON, MO
65616-2860

Practice Phone: 417-239-2999
Practice Fax: 417-239-2938

1093710113 — JON KEVIN RICHTER MD
Practice Location Address:

5136 STATE HIGHWAY 265
BRANSON, MO
65616-9099

Practice Phone: 417-338-0960
Practice Fax: 417-338-0968

1548265697 — LAKES REGION IMAGING LLC
Practice Location Address:

251 SKAGGS RD
BRANSON, MO
65616-2031

Practice Phone: 417-335-7000
Practice Fax: 314-631-4491

1275531683 — DR. ANTHONY WHEELER MD
Practice Location Address:

525 BRANSON LANDING BLVD
BRANSON, MO
65616-2052

Practice Phone: 417-335-7000
Practice Fax:

Directions to “THERAVADA MENTAL HEALTH MO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.