Organization
ANNI MILLER-EDGE COUNSELING, LLC
Active
Other names
Azalea House of Healing, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN MILLER-EDGE LADC/MH (OWNER/OPERATOR)
(405) 367-1426
Entity
Organization
Contact information
Practice address
5601 NW 72ND ST STE 106, WARR ACRES, OK 73132-5923
(405) 367-1426
Mailing address
5601 NW 72ND ST STE 106, WARR ACRES, OK 73132-5923
(405) 367-1426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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