NPI 1194141309

Lighthouse Behavioral Wellness Centers

Organisation Psychiatry Physician Durant, OK

Practice location

Address: 2425 W University Blvd STE 102, Durant, OK 74701-2970
Phone: (580) 924-7330
Fax: (580) 924-7334
Mailing address: PO Box 189, Ardmore, OK 73402-0189

Authorised official

Name: Deana Tharp
Title: Deputy Executive Director
Phone: (580) 197-3053

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 100728830 (OK)

Other Psychiatry & Neurology providers in Oklahoma →

Registry record

NPI: 1194141309
Entity type: Organization
NPI issued: 12 Mar 2014
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.