NPI 1013542190

Lighthouse Behavioral Wellness Centers

Organisation Addiction Psychiatry Physician Durant, OK

Practice location

Address: 2425 W University Blvd, Durant, OK 74701-2970
Phone: (580) 924-7331
Fax: (580) 924-7332
Mailing address: 2425 W University Blvd-Ste 100, Durant, OK 74701-2970

Authorised official

Name: Deana Tharp
Title: Deputy Executive Directcor
Phone: (580) 319-7305

Registered specialties

Addiction Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0802X

Other Psychiatry & Neurology providers in Oklahoma →

Registry record

NPI: 1013542190
Entity type: Organization
NPI issued: 9 Mar 2020
Record last updated: 20 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.