LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS - NPI 1730462185 - Community/Behavioral Health in Tishomingo, OK

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

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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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 1730462185) is a healthcare organization registered as a community/behavioral health in Tishomingo, Oklahoma and active in the NPI registry since September 2011. The organization lists Deana Tharp, Deputy Executive Director, as its authorized official.

NPPES Registry Identity

NPI1730462185

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLIGHTHOUSE BEHAVIORAL WELLNESS CENTERS

Location Address108 W MAIN STTishomingo, OK 73460-1723

Mailing AddressPo Box 189Ardmore, OK 73402-0189

Phone(580) 371-0011

Fax(580) 371-0206

Organization SubpartNo

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

Enumeration DateSeptember 22, 2011

Last NPPES UpdateMay 20, 20202 updates tracked since enumeration

NPPES CertifiedMay 20, 2020

✔ NPI 1730462185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

108 W MAIN ST, Tishomingo, OK 73460

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Other Identifiers 1

Medicaid100728830OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

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.

MATTIE LYNN RILEY

Case Manager/Care Coordinator