Organization
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANA MICHELLE THARP LPC (DEPUTY EXECUTIVE DIRECTOR)
(580) 319-7305
Entity
Organization
Contact information
Practice address
2425 W UNIVERSITY BLVD STE 100, DURANT, OK 74701-2970
(580) 924-7331
(580) 924-7332
Mailing address
2425 W UNIVERSITY BLVD STE 100, DURANT, OK 74701-2970
(580) 924-7330
(580) 924-2739
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728830A
—
OK
Enumeration date
02/26/2015
Last updated
05/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us