Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edge Therapy and Life Coaching

Organization Clinical Social Worker · NPI 1982495925

Edge Therapy and Life Coaching is a Clinical Social Worker in Oklahoma City, Oklahoma. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3616 N Meridian Ave Ste 111
Oklahoma City, OK 73112-2814
Phone: (909) 202-8403
Fax: (909) 697-2887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6101 Cherry Ave Ste 205, Fontana, CA 92336-5362 — (909) 202-8361

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1982495925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monique Bautista — Director · (909) 202-8361
NPI enumeratedMay 16, 2025
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address6101 Cherry Ave Ste 205, Fontana, CA 92336-5362

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