Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medicine Lodge Counseling PLLC

Organization Professional Counselor · NPI 1619465788

Medicine Lodge Counseling PLLC provides Professional Counselor services in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2018.

Licensed in
MT
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2809 Great Northern Loop Ste 210-5
Missoula, MT 59808-1749
Phone: (406) 360-8470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4654 (MT)

Record details

NPI number1619465788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Wilson — Clinical Mental Health Counselor · (406) 360-8470
NPI enumeratedApril 24, 2018
Last updated in NPPESJune 16, 2018
Mailing address14098 Jenny Ann Ct Unit A, Missoula, MT 59808-5386

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