LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
NPI 1154747384
Psychiatry & Neurology - Psychiatry in Tishomingo, OK

Q: What is Lighthouse Behavioral Wellness Centers's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since March 12, 2014

1000 S BYRD ST, TISHOMINGO, OK 73460(580) 371-3019(580) 371-0138 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2020, May 13, 2020 (2 updates tracked since 2020).

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About Lighthouse Behavioral Wellness Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS (NPI 1154747384) is a healthcare organization registered as a psychiatry in Tishomingo, Oklahoma and active in the NPI registry since March 2014. The organization lists Deana Tharp, Deputy Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154747384

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameLIGHTHOUSE BEHAVIORAL WELLNESS CENTERS

Location Address1000 S BYRD STTishomingo, OK 73460-3265

Mailing AddressPo Box 189Ardmore, OK 73402-0189 · (580) 223-5070 · Fax (580) 223-5617

Phone(580) 371-3019

Fax(580) 371-0138

Organization SubpartNo

Authorized OfficialDeana TharpDeputy Executive Director · (580) 319-7305

Enumeration DateMarch 12, 2014

Last NPPES UpdateMay 20, 20202 updates tracked since enumeration

NPPES CertifiedMay 20, 2020

✔ NPI 1154747384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in OK · 100728830

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1000 S BYRD ST, Tishomingo, OK 73460

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Other Identifiers 1

Medicaid100728830OK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA ANNE WALGREN PA-C

Physician Assistant