Organization
EDGEWOOD MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA LIME (OWNER)
(503) 308-1301
Entity
Organization
Contact information
Practice address
280 LIBERTY ST SE STE 206, SALEM, OR 97301-3554
(503) 308-1301
(503) 217-6526
Mailing address
24815 S ELLSWORTH RD APT 179, QUEEN CREEK, AZ 85142-1929
(503) 308-1301
(503) 217-6526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
03/27/2024
Last updated
01/12/2026
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