Anni Miller-Edge Counseling, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

ANNI MILLER-EDGE COUNSELING, LLC

Practice address

5601 NW 72ND St Ste 106
Warr Acres, OK 73132-5923

Phone

(405) 367-1426

NPI assigned

Jul 30, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ann Miller-Edge, LADC/MH

Title

Owner/Operator

Phone

(405) 367-1426

Specialties & licenses 3

Addresses

Other names 1

• Azalea House of Healing, LLC Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659139200000",
    "number": "1891421939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NW 72ND ST STE 106",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325923",
            "telephone_number": "405-367-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NW 72ND ST STE 106",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325923",
            "telephone_number": "405-367-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNI MILLER-EDGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A",
        "authorized_official_last_name": "MILLER-EDGE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "405-367-1426",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LADC/MH"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azalea House of Healing, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Warr Acres, OK
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.