Lighthouse Behavioral Wellness Centers
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Madill, OK
NPI 1972659910 · NPPES record last updated Apr 11, 2022
Key facts
- NPI
- 1972659910
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
- Practice address
- 501 N 1St St
Madill, OK 73446-1406 - Phone
- (580) 798-0111
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Deana Tharp
- Title
- LPC
- Phone
- (580) 319-7305
Corporate family (same tax ID) 13
Practitioners 4
National Provider Directory
- Tax ID family
- Mental Health Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
501 N 1St St
Madill, OK 73446-1406
Mailing address
PO Box 189
Ardmore, OK 73402-0189
Phone (580) 223-5070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100728830 N | Medicaid | OK |
Other providers in Madill, OK
- Robert Zafar Lafleur
- Beth Lane
- Christen Lee
- Legacy Family Medicine PLLC
- Legacy Family Medicine PLLC
- Looking Up Counseling
- Looking Up Counseling
- Madill Dental Company
- Madill Family Dentistry PLLC
- Madill Operating Co, LLC
All providers in Madill, OK · Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.