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Organization

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS

Active
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Organization

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEANA THARP LPC (CHIEF CLINICAL COMPLIANCE OFFICER)
(580) 319-7305
Entity
Organization

Contact information

Practice address
615 WESTSIDE DR, DURANT, OK 74701-2955
(580) 924-7331
(580) 924-7332
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 924-7330
(580) 924-2739

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
—

Other

Enumeration date
02/26/2015
Last updated
08/18/2026
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