# ANNI MILLER-EDGE COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Azalea House of Healing, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891421939
- **Authorized official:** MRS. ANN MILLER-EDGE LADC/MH (OWNER/OPERATOR)
- **Authorized official phone:** (405) 367-1426

## Contact information

- **Practice address:** 5601 NW 72ND ST STE 106, WARR ACRES, OK 73132-5923
- **Practice address phone:** (405) 367-1426
- **Mailing address:** 5601 NW 72ND ST STE 106, WARR ACRES, OK 73132-5923
- **Mailing address phone:** (405) 367-1426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/30/2022
- **Last updated:** 07/30/2022