=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407771694
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIND MATTERS COUNSELING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/13/2026
-----------------------------------------------------
Last Update Date | 08/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 111 N HIGGINS AVE STE 204L
-----------------------------------------------------
City | MISSOULA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59802-4401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-203-2589
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 111 N HIGGINS AVE STE 204L
-----------------------------------------------------
City | MISSOULA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59802-4401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-203-2589
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, COUNSELOR
-----------------------------------------------------
Name | DANIELLE IRENE STANDLEY
-----------------------------------------------------
Credential | PCLC, LAC
-----------------------------------------------------
Telephone | 406-203-2589
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------