Organization
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Active
Other names
Lighthouse Behavioral Wellness Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA THARP M.ED, LPC-S (CHIEF CLINICAL COMPLIANCE OFFICER)
(580) 319-7305
Entity
Organization
Contact information
Practice address
2530 S. COMMERCE, BUILDING A, ARDMORE, OK 73401-5519
(580) 223-5070
(580) 223-5617
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 223-5070
(580) 223-5617
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
09/19/2022
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