# LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740672880
- **Authorized official:** DEANA THARP LPC (CHIEF CLINICAL COMPLIANCE OFFICER)
- **Authorized official phone:** (580) 319-7305

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2015
- **Last updated:** 08/18/2026