Lighthouse Behavioral Wellness Centers

NPI #1629757679 in Ardmore, Oklahoma

Provider Information

NPI Number: 1629757679
Entity Type: Organization
Organization Name: Lighthouse Behavioral Wellness Centers
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 17, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 9 10TH AVE NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-5929
Phone: (580) 226-1656

Authorized Official

Name: DEANA THARP, LPC
Title: CHIEF CLINICAL COMPLIANCE OFFICER
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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