Healthcare Provider Details

I. General information

NPI: 1184581209
Provider Name (Legal Business Name): MIND AND MOTION COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 11TH ST NW
GREAT FALLS MT
59404-1706
US

IV. Provider business mailing address

1003 11TH ST NW
GREAT FALLS MT
59404-1706
US

V. Phone/Fax

Practice location:
  • Phone: 406-781-4802
  • Fax:
Mailing address:
  • Phone: 406-781-4802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KELSEY KOJETIN
Title or Position: PRACTICE OWNER/ CLINICIAN
Credential: LCPC
Phone: 406-781-4802