Lighthouse Behavioral Wellness Centers
NPI #1730462185 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1730462185
- Entity Type
- Organization
- Organization Name
- Lighthouse Behavioral Wellness Centers
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 22, 2011
- Last Updated
- May 20, 2020
Practice Location
- Address
- 108 W MAIN ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-1723
- Phone
- (580) 371-0011
Authorized Official
- Name
- DEANA THARP, LPC
- Title
- DEPUTY EXECUTIVE DIRECTOR
- Phone
- (580) 319-7305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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