NPIMap

Organization Active NPI

Lighthouse Behavioral Wellness Centers

  • Community/Behavioral Health Agency
  • Sulphur, OK
National Provider Identifier
1598370298
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Practice address
414 W Muskogee Ave
Sulphur, OK 73086-4614
Phone
(580) 319-7305
NPI assigned
Sep 10, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mauna Lia
Title
Administrative Assistant
Phone
(580) 319-7305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

414 W Muskogee Ave
Sulphur, OK 73086-4614

Mailing address

414 W Muskogee Ave
Sulphur, OK 73086-4614

Other names 1

  • Mental Health Services of Southern Oklahoma Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Services65 organizations share this tax ID, including this one
Part of
Mental Health Services

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

414 W Muskogee Ave
Sulphur, OK 73086
Phone (580) 319-7305

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1598370298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W MUSKOGEE AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W MUSKOGEE AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864614",
            "telephone_number": "580-319-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "LIA",
        "authorized_official_first_name": "MAUNA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "580-319-7305"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Services of Southern Oklahoma",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sulphur, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.