Organization
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Active
Other names
C-URC
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
2425 W UNIVERSITY BLVD STE 100, DURANT, OK 74701-2970
(580) 745-1188
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 319-7305
(580) 319-7328
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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