Provider Demographics
NPI:1912516147
Name:HASLEM, LEXIE
Entity type:Individual
Prefix:
First Name:LEXIE
Middle Name:
Last Name:HASLEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1398 W BEACON HILL CIR
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84123-4803
Mailing Address - Country:US
Mailing Address - Phone:628-222-9621
Mailing Address - Fax:
Practice Address - Street 1:388 W CENTER ST
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-4659
Practice Address - Country:US
Practice Address - Phone:801-960-3131
Practice Address - Fax:800-785-2607
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health