Therapy & Counseling Services in Missoula, Montana

Many individuals and couples choose our Missoula Mullan office because it offers both accessibility and a peaceful therapeutic setting. Conveniently located near the Walmart Supercenter on Mullan Road and across from Bone & Joint Urgent Care, our office is easy to find and close to shopping centers, local businesses, and the movie theater. Clients appreciate being able to attend appointments without navigating downtown traffic while still remaining close to the heart of Missoula.

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What truly makes this location unique is the environment itself. Our office features a fenced backyard with views of the Clark Fork River.

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On sunny days, we offer the option to meet outdoors — creating a calming, grounding experience many clients find refreshing. The natural surroundings provide space to breathe, reflect, and engage in meaningful work, especially during Montana's long winters.

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We primarily serve individual adults and couples at this location. Many of our clients are working professionals or partners navigating relationship stress, anxiety, or life transitions.

This office is located near the Mullan Road corridor and Hellgate Elementary, making it ideal for those who value convenient access in a service-oriented neighborhood.

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Seasonal stressors are very real in Western Montana. The winter months, with shorter days and limited sunlight, can intensify feelings of depression or isolation. Fire season and smoke exposure may also increase stress and disrupt routines.

Our goal is to provide a steady, supportive space throughout the year — whether you’re navigating winter blues, relationship strain, or simply feeling overwhelmed.

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We proudly serve clients throughout Missoula and surrounding communities offering thoughtful, evidence-based therapy in a setting that feels both professional and welcoming.

Working Professionals

We specialize in supporting working professionals in Missoula who are balancing demanding careers, family responsibilities, and personal well-being. High achievers often experience chronic stress, burnout, perfectionism, or difficulty disconnecting from work. Therapy provides a confidential space to process pressure, improve boundaries, and develop healthier coping strategies. Our goal is to help you succeed professionally without sacrificing your mental and emotional health.

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Relationships & Premarital Counseling

Our Mullan office supports individuals, couples, and partners navigating relationship challenges of all kinds — from dating and long-term partnerships to engagement and marriage. Many seek therapy when feeling disconnected, stuck in recurring arguments, or facing stress from parenting, careers, or life transitions. We also offer Prepare/Enrich premarital counseling for couples preparing for marriage. Using Emotionally Focused Therapy (EFT) and other research-based approaches, we help clients rebuild emotional safety, strengthen communication, and develop lasting connection.

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Individuals Seeking Support for Anxiety

Anxiety can show up as racing thoughts, constant worry, irritability, difficulty sleeping, or physical tension. In Missoula, seasonal changes, winter darkness, and wildfire smoke can intensify symptoms. We use evidence-based approaches to help individuals understand anxiety patterns, regulate the nervous system, and feel more grounded. Therapy focuses on both immediate relief and long-term resilience.

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Life Transitions

Major life changes — career shifts, relocation, parenthood, loss, or identity changes — can bring unexpected stress. Many individuals seek therapy during transitional periods when old coping strategies no longer work. Counseling provides clarity, emotional support, and practical tools to navigate change with greater confidence and stability. We help you move forward intentionally rather than reactively.

Tiana Wilson, LCSW

Specialties: Emotionally Focused Therapy for Couples and Individuals, Certified Premarital Counseling
Populations Served: Individuals ages 8+, couples, and families
Therapeutic Approach: Relational — Tiana focuses on understanding the unique patterns in relationships and guiding clients toward deeper connection, emotional insight, and effective communication.
Accepting New Clients: Yes

Learn more about Tiana Wilson, LCSW

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Tiana brings a warm, collaborative approach to therapy, helping clients navigate anxiety, relationship stress, life transitions, and premarital preparation. She tailors sessions to each client’s needs, providing a safe and supportive environment to explore challenges and build lasting skills. Many clients appreciate her emphasis on relational dynamics and the practical strategies she provides for strengthening connections, whether with a partner, family, or oneself.

Scheduling your first session at our Missoula Mullan office is simple and streamlined. We use SimplePractice, a secure online portal, to send your intake paperwork ahead of time.

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Through the portal, you can review and sign practice policies, HIPAA consent forms, and complete a brief questionnaire about your goals. You can also upload your insurance card and securely access billing information, all before your first appointment. 

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We are proud to partner with Back Office Solutions, a local Missoula business, to handle insurance claims, financial statements, and billing. This allows our therapists to focus entirely on providing care while ensuring your insurance and payment processes are handled efficiently and professionally.

Sessions at the Mullan office are typically 55 minutes long, providing ample time to explore concerns, develop strategies, and work toward your personal or relational goals. We also offer Telehealth sessions, so you can attend therapy from the comfort of your own home if needed. All sessions are fully confidential, in accordance with HIPAA regulations.

Our Missoula Mullan office generally operates from 9:00 AM to 4:00 PM, Monday through Friday. Evening appointments are available occasionally for couples who have scheduling conflicts and are unable to meet during the day, making it easier for busy clients to access care when needed.

From your first login to SimplePractice through your initial session, we aim to create a supportive and professional experience.

Whether you are seeking therapy for yourself, your relationship, or your family, our Missoula Mullan office offers a structured and welcoming space to begin.

Our Missoula Mullan office proudly serves individuals, couples, and families throughout Missoula and surrounding communities. Located in the Mullan Road corridor, the office is easily accessible from both central Missoula and neighboring areas. We regularly see clients from the Hellgate neighborhood, South Hills, Bonner, Lolo, The Wye, Arlee, and Frenchtown.

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Many clients choose this location for its peaceful, service-oriented neighborhood and the unique opportunity to meet in our backyard with a view of the Clark Fork River on sunny days. Whether you are seeking therapy in Missoula proper or from nearby communities, our Mullan office provides a convenient, welcoming, and professional environment tailored to your mental health needs.

Our goal is to make high-quality, thoughtful therapy accessible throughout the greater Missoula area.

At our Missoula Mullan office, we aim to make therapy accessible and affordable for all clients. We accept a variety of in-network insurance plans and also offer flexible private-pay options.

In-Network Insurance Companies

• Aetna

• Allegiance

• Blue Cross Blue Shield (BCBS)

• Cigna

• ​First Choice Health

• HMK - Healthy Montana Kids & Montana Medicaid

• Mountain Health CO-OP

• Optum

• Pacific Source

• TriCare West Region HNFS & TriWest Healthcare Alliance

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​Note: Some BCBS plans have behavioral health claims processed by a “carve-out” company. Claims are handled according to that carrier’s contracting policy, not the BCBS contract. For example, policies with prefix PBQ are processed by Optum/UBH, and prefix PAS policies are processed by Beacon Health.

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​Private Pay & Reduced Fees

For clients paying out-of-pocket, we offer:

• Reduced fee: $100 per session for individual therapy

• Standard individual sessions: $200–$225

• Couples sessions: $150 per session

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Note: Couples and premarital counseling sessions cannot be billed to insurance for relationship issues, as these are not considered medically necessary.

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We work with clients to make insurance and payments as straightforward as possible. All claims and financial statements are processed through Back Office Solutions, a local Missoula business, ensuring accuracy and timely handling of billing and insurance.

Do you offer in-person therapy in Missoula?

Yes! Our Missoula Mullan office provides in-person therapy sessions for individuals, couples, and families. The office is conveniently located near the Walmart Supercenter on Mullan Road and across from Bone & Joint Urgent Care, making it easily accessible from neighborhoods throughout Missoula, including the Mullan/Hellgate School District, South Hills, and surrounding areas.

Do you offer Telehealth sessions?

Absolutely. We provide secure Telehealth therapy sessions for clients who live farther away, have scheduling constraints, or prefer the convenience of meeting from home. Telehealth services are available across Montana, allowing clients from towns such as Wye, Arlee, Frenchtown, and beyond to access quality care without traveling to the office.

How long is a therapy session at the Mullan office?

Sessions are typically 55 minutes long, giving you ample time to work through your goals with your therapist. This applies to individual, couples, and family sessions, allowing for a thorough and focused therapeutic experience.

Do you accept Medicaid or other insurance?

Yes, our Missoula Mullan office accepts a variety of in-network insurance plans, including Aetna, Allegiance, BCBS, Cigna, First Choice Health, Pacific Source, Optum, TriCare, and Medicaid. We also partner with Back Office Solutions, a local Missoula business, to manage insurance claims and financial statements, making the process smooth for clients.

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Does insurance cover couples or premarital counseling?

Relationship and premarital counseling are generally not billable to insurance, as they are not considered medically necessary services. We offer these sessions at a reduced out-of-pocket rate.

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Is parking available at the Mullan office?

Yes! Parking is available directly at the office, making it easy to attend your sessions without stress. The office is located in a convenient commercial area with easy access and ample parking.

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Are evening appointments available?

Our Mullan office generally operates 9:00 AM to 4:00 PM. Evening appointments are offered occasionally for couples who cannot coordinate schedules during regular hours. For most clients, we recommend scheduling during daytime hours, but we strive to accommodate special needs whenever possible.

Can I pay out-of-pocket for therapy?

Yes. We offer private-pay options for clients who prefer not to use insurance. Individual sessions range from $200–$225, with a reduced fee of $100 for qualifying clients. Couples sessions are offered at a reduced rate of $150 per session. Please note that couples sessions for relationship issues are not billable to insurance, as they are not considered medically necessary.

Whether you’re seeking support for yourself, your relationship, or your family, our Missoula Mullan office is here to provide compassionate, professional therapy in a welcoming and convenient setting.

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Scheduling your first session is simple. You can request a callback from one of our local therapists to discuss your needs, ask questions, and find a time that works for you. Our team will contact you promptly to guide you through the process and connect you with the therapist best suited for your goals.

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Request a Callback from a Missoula Therapist

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Take the first step toward support and growth — your mental health matters, and we are here to help every step of the way.