Healthcare Provider Details

I. General information

NPI: 1285539478
Provider Name (Legal Business Name): WARRIOR COUNSELING, COACHING, AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 E. VETERANS BLVD
ARDMORE OK
73401
US

IV. Provider business mailing address

11720 E GRASSY CREEK RD
COLEMAN OK
73432-8752
US

V. Phone/Fax

Practice location:
  • Phone: 580-387-8247
  • Fax: --
Mailing address:
  • Phone: 580-387-8247
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. DAWN MARIE BONHAM
Title or Position: OWNER/CEO
Credential: L.C.S.W.
Phone: 580-387-8247