Healthcare Provider Details

I. General information

NPI: 1306704184
Provider Name (Legal Business Name): EDEN MENTAL HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 W RIVER ROCK RD
BELGRADE MT
59714-9559
US

IV. Provider business mailing address

253 W RIVER ROCK RD
BELGRADE MT
59714-9559
US

V. Phone/Fax

Practice location:
  • Phone: 628-222-9621
  • Fax:
Mailing address:
  • Phone: 628-222-9621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LEXIE HASLEM
Title or Position: OWNER
Credential: LCPC
Phone: 628-222-9621