Whalio Doctors

NPI 1033265764

Lighthouse Behavioral Wellness Centers

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Ada, OK

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
Ambulatory Health Care Facilities Taxonomy 261QM0801X

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.