Lighthouse Behavioral Wellness Centers

NPI #1427104546 in Durant, Oklahoma

Provider Information

NPI Number: 1427104546
Entity Type: Organization
Organization Name: Lighthouse Behavioral Wellness Centers
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 25, 2007
Last Updated: May 20, 2020

Practice Location

Address: 2425 W UNIVERSITY BLVD STE 102
City: Durant
State: Oklahoma
ZIP Code: 74701-2970
Phone: (580) 924-2739

Authorized Official

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

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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