NPI 1033265764
Lighthouse Behavioral Wellness Centers
Practice location
- Address
- 301 W 4th St, Ada, OK 74820-3411
- Phone
- (580) 436-2690
- Fax
- (580) 436-5539
- Mailing address
- PO Box 189, Ardmore, OK 73402-0189
Authorised official
- Name
- Deana Tharp
- Title
- Deputy Executive Director
- Phone
- (580) 319-7305
Registered specialties
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Registry record
- NPI
- 1033265764
- Entity type
- Organization
- NPI issued
- 26 Jan 2007
- 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.