LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
NPI 1649796590
Psychiatry & Neurology - Child & Adolescent Psychiatry in Ardmore, OK

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since August 22, 2017

2530 S COMMERCE ST BLDG C, ARDMORE, OK 73401(580) 226-5048(580) 226-3569 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2020, May 13, 2020, Aug 22, 2017 (3 updates tracked since 2017).

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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 1649796590) is a healthcare organization registered as a child & adolescent psychiatry in Ardmore, Oklahoma and active in the NPI registry since August 2017. The organization lists Deana Tharp, Deputy Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649796590

Entity TypeOrganization

Primary Taxonomy2084P0804X

Legal Business NameLIGHTHOUSE BEHAVIORAL WELLNESS CENTERS

Location Address2530 S COMMERCE ST BLDG CArdmore, OK 73401-5519

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

Phone(580) 226-5048

Fax(580) 226-3569

Organization SubpartNo

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

Enumeration DateAugust 22, 2017

Last NPPES UpdateMay 20, 20203 updates tracked since enumeration

NPPES CertifiedMay 20, 2020

✔ NPI 1649796590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in OK · 4157

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

2530 S COMMERCE ST BLDG C, Ardmore, OK 73401

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Other Identifiers 1

Medicaid100728830OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

MICHELE ROBERTS

Case Manager/Care Coordinator