Provider Demographics
NPI:1548388390
Name:WARRIOR, ANITA LAVERNE (BHRS)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:LAVERNE
Last Name:WARRIOR
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3623 BELLFLOWER AVE
Mailing Address - Street 2:
Mailing Address - City:PONCA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:74604-4612
Mailing Address - Country:US
Mailing Address - Phone:580-762-4727
Mailing Address - Fax:
Practice Address - Street 1:1500 N 6TH ST
Practice Address - Street 2:
Practice Address - City:PONCA CITY
Practice Address - State:OK
Practice Address - Zip Code:74601-2827
Practice Address - Country:US
Practice Address - Phone:918-287-1175
Practice Address - Fax:918-287-0036
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health