Lighthouse Behavioral Wellness Centers

NPI #1912053612 in Ardmore, Oklahoma

Provider Information

NPI Number: 1912053612
Entity Type: Organization
Organization Name: Lighthouse Behavioral Wellness Centers
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 26, 2007
Last Updated: May 20, 2020

Practice Location

Address: 2530 S COMMERCE
Address 2: BLDG B
City: Ardmore
State: Oklahoma
ZIP Code: 73401
Phone: (580) 223-5070

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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