| Lighthouse Behavioral Wellness Centers | |
|
1219 K St Nw Ste. #2 Ardmore OK 73401-1801 | |
| (580) 798-4523 | |
| (580) 319-5349 |
| Full Name | Lighthouse Behavioral Wellness Centers |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1219 K St Nw, Ardmore, Oklahoma |
| Authorized Official Name and Position | Deana Tharp (DEPUTY EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5803197305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavioral Wellness Centers 1219 K St Nw Ste. #2 Ardmore OK 73401-1801 Ph: (580) 798-4523 | Lighthouse Behavioral Wellness Centers 1219 K St Nw Ste. #2 Ardmore OK 73401-1801 Ph: (580) 798-4523 |
| NPI Number | 1225378623 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225378623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100728830 (Oklahoma) | Primary |
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