Lighthouse Behavioral Wellness Centers

NPI #1013542190 in Durant, Oklahoma

Provider Information

NPI Number: 1013542190
Entity Type: Organization
Organization Name: Lighthouse Behavioral Wellness Centers
Primary Specialty: Psychiatry & Neurology - Addiction Psychiatry
Enumeration Date: Mar 9, 2020
Last Updated: May 20, 2020

Practice Location

Address: 2425 W UNIVERSITY BLVD
City: Durant
State: Oklahoma
ZIP Code: 74701-2970
Phone: (580) 924-7331

Authorized Official

Name: DEANA THARP, LPC
Title: DEPUTY EXECUTIVE DIRECTCOR
Phone: (580) 319-7305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Addiction Psychiatry — Addiction Psychiatry	2084P0802X	Primary

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