Edge Therapy and Life Coaching

NPI #1982495925 in Fontana, California

Provider Information

NPI Number: 1982495925
Entity Type: Organization
Organization Name: Edge Therapy and Life Coaching
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 16, 2025
Last Updated: May 16, 2025

Practice Location

Address: 6101 CHERRY AVE STE 205
City: Fontana
State: California
ZIP Code: 92336-5362
Phone: (909) 202-8361

Authorized Official

Name: MONIQUE BAUTISTA, LCSW
Title: DIRECTOR
Phone: (909) 202-8361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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