MEDICARE: LEXI WAGNER LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	72620	MT

General Provider Information

NPI Number	:	1699501775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEXI WAGNER LCPC

Provider Business Mailing Address
First Line	:	515 N EWING ST STE 600
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-4002
Country	:	US
Telephone Number	:	406-465-9837
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 N EWING ST STE 600
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-4002
Country	:	US
Telephone Number	:	406-692-2530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2024
Last Update Date	:	06/27/2025

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