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LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
NPI 1194141309
Psychiatry & Neurology - Psychiatry in Durant, OK

Active since March 12, 2014
2425 W UNIVERSITY BLVD STE 102, DURANT, OK 74701(580) 924-7330(580) 924-7334 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Lighthouse Behavioral Wellness Centers NPPES

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

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS (NPI 1194141309) is a healthcare organization registered as a psychiatry in Durant, 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

NPI1194141309
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Location Address2425 W UNIVERSITY BLVD STE 102Durant, OK 74701-2970
Mailing AddressPo Box 189Ardmore, OK 73402-0189 · (580) 223-5070 · Fax (580) 223-5617
Phone(580) 924-7330
Fax(580) 924-7334
Organization SubpartNo
Authorized OfficialDeana TharpDeputy Executive Director · (580) 197-3053
Enumeration DateMarch 12, 2014
Last NPPES UpdateMay 20, 20202 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1194141309 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.
2425 W UNIVERSITY BLVD STE 102, Durant, OK 74701
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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 20

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

MARSHELLDRA NACOLE COOK
Peer Specialist
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (809) 247-3305
LORI ANN BLACK
Case Manager/Care Coordinator
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330
MORGAN NICOLE GREEN
Case Manager/Care Coordinator
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 740-4053
MRS. AMANDA JEAN RODGERS BSW
Case Manager/Care Coordinator
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330
DEBRA BISHOP
Behavior Technician
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330
SARIN DEES
Peer Specialist
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330
MRS. KENDRA MATHIS LPC
Counselor
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330
CAMERON TENNISON
Case Manager/Care Coordinator
2425 W UNIVERSITY BLVD STE 102
DURANT, OK 74701
Bryan County (580) 924-7330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Behavioral Wellness Centers's NPI number?

The NPI number for Lighthouse Behavioral Wellness Centers is 1194141309. It was assigned to this organization in the NPPES registry on March 12, 2014.

Where is Lighthouse Behavioral Wellness Centers located?

Lighthouse Behavioral Wellness Centers is located at 2425 W University Blvd Ste 102, Durant, OK 74701. The listed phone number is (580) 924-7330.

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.

When was this NPI record last updated?

The NPPES record for Lighthouse Behavioral Wellness Centers was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.