# EDGEWOOD MENTAL HEALTH AND WELLNESS LLC

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

## Provider details

- **NPI number:** 1922859198
- **Authorized official:** EMMA LIME (OWNER)
- **Authorized official phone:** (503) 308-1301

## Contact information

- **Practice address:** 280 LIBERTY ST SE STE 206, SALEM, OR 97301-3554
- **Practice address phone:** (503) 308-1301
- **Practice address fax:** (503) 217-6526
- **Mailing address:** 24815 S ELLSWORTH RD APT 179, QUEEN CREEK, AZ 85142-1929
- **Mailing address phone:** (503) 308-1301
- **Mailing address fax:** (503) 217-6526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 171W00000X | Contractor | — | NULL | — |
| 171W00000X | Contractor | — | — | — |

## Other

- **Enumeration date:** 03/27/2024
- **Last updated:** 01/12/2026