| Lighthouse Behavioral Wellness Centers | |
|
2530 S Commerce St Bldg C Ardmore OK 73401-5519 | |
| (580) 223-5070 | |
| Not Available |
| Full Name | Lighthouse Behavioral Wellness Centers |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2530 S Commerce St Bldg C, Ardmore, Oklahoma |
| Authorized Official Name and Position | Deana Tharp (DEPUTY EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5803197305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Behavioral Wellness Centers Po Box 189 Ardmore OK 73402-0189 Ph: (580) 223-5070 | Lighthouse Behavioral Wellness Centers 2530 S Commerce St Bldg C Ardmore OK 73401-5519 Ph: (580) 223-5070 |
| NPI Number | 1689832347 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689832347 | NPI | - | NPPES |
| 200129610 A | Medicaid | OK |
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