# WAVES OF CHANGE COUNSELING MT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992556377
- **Authorized official:** SAMANTHA LYNN ARCAND LAC, LCSW (OWNER / CLINICIAN)
- **Authorized official phone:** (763) 226-8206

## Contact information

- **Practice address:** 1008 SOUTH AVE W, MISSOULA, MT 59801-7948
- **Practice address phone:** (406) 426-3642
- **Mailing address:** 10972 STELLA BLUE DR, LOLO, MT 59847-8463
- **Mailing address phone:** (763) 226-8206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 04/01/2024
- **Last updated:** 04/01/2024