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Organization

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEANA THARP LPC (DEPUTY EXECUTIVE DIRECTOR)
(580) 319-7305
Entity
Organization

Contact information

Practice address
1219 K ST NW, STE. #2, ARDMORE, OK 73401-1801
(580) 798-4523
(580) 319-5349
Mailing address
1219 K ST NW, STE. #2, ARDMORE, OK 73401-1801
(580) 798-4523
(580) 319-5349

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100728830
OK

Other

Enumeration date
02/21/2013
Last updated
05/20/2020
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