| Warrior Wellness | |
|
21099 State Highway 39 Purcell OK 73080-4706 | |
| (405) 613-0009 | |
| Not Available |
| Full Name | Warrior Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 21099 State Highway 39, Purcell, Oklahoma |
| Authorized Official Name and Position | Malori Ann Lawrence (OWNER) |
| Authorized Official Contact | 4056130009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warrior Wellness 21099 State Highway 39 Purcell OK 73080-4706 Ph: (405) 613-0009 | Warrior Wellness 21099 State Highway 39 Purcell OK 73080-4706 Ph: (405) 613-0009 |
| NPI Number | 1174401616 |
|---|---|
| Provider Enumeration Date | 08/22/2025 |
| Last Update Date | 08/22/2025 |
| Certification Date | 08/22/2025 |
| Medicare PECOS PAC ID | 5991298721 |
|---|---|
| Medicare Enrollment ID | O20251201003245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174401616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Malori a Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063068088 PECOS PAC ID: 4284963612 Enrollment ID: I20190911000859 |
| Provider Name | Rachelle Metcalf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740577196 PECOS PAC ID: 9436598448 Enrollment ID: I20240423002251 |
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