| Edge Therapy And Life Coaching | |
|
3616 N Meridian Ave Ste 111 Oklahoma City OK 73112-2814 | |
| (909) 202-8403 | |
| (909) 697-2887 |
| Full Name | Edge Therapy And Life Coaching |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3616 N Meridian Ave Ste 111, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Monique Bautista (DIRECTOR) |
| Authorized Official Contact | 9092028361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edge Therapy And Life Coaching 6101 Cherry Ave Ste 205 Fontana CA 92336-5362 Ph: (909) 202-8361 | Edge Therapy And Life Coaching 3616 N Meridian Ave Ste 111 Oklahoma City OK 73112-2814 Ph: (909) 202-8403 |
| NPI Number | 1982495925 |
|---|---|
| Provider Enumeration Date | 05/16/2025 |
| Last Update Date | 07/09/2026 |
| Certification Date | 07/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982495925 | NPI | - | NPPES |
| 1033800560 | Other | CA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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