| Lighthouse Behavioral Wellness Centers | |
|
414 W Muskogee Ave Sulphur OK 73086-4614 | |
| (580) 223-5070 | |
| (580) 223-5617 |
| Full Name | Lighthouse Behavioral Wellness Centers |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 414 W Muskogee Ave, Sulphur, Oklahoma |
| Authorized Official Name and Position | Tracie C Del Torto (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5803197305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavioral Wellness Centers Po Box 189 Ardmore OK 73402-0189 Ph: (580) 223-5070 | Lighthouse Behavioral Wellness Centers 414 W Muskogee Ave Sulphur OK 73086-4614 Ph: (580) 223-5070 |
| NPI Number | 1831245885 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831245885 | NPI | - | NPPES |
| 100728830 J | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Southern Oklahoma Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 W 3rd St Ste C, Sulphur, OK 73086 Phone: 580-564-7374 | |
Southeastern Oklahoma Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W Broadway Ave Ste 2, Sulphur, OK 73086 Phone: 580-622-2783 | |
Connections Nlp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1218 W Broadway Ave, Sulphur, OK 73086 Phone: 580-622-8800 Fax: 580-622-8805 | |
Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 W 11th St, Suite 107, Sulphur, OK 73086 Phone: 580-371-3551 Fax: 580-371-9852 | |
Lighthouse Behavioral Wellness Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 W Muskogee Ave, Sulphur, OK 73086 Phone: 580-319-7305 |