| Lighthouse Behavioral Wellness Centers | |
|
2010 Boren Blvd Seminole OK 74868-2050 | |
| (580) 223-5070 | |
| (580) 223-5617 |
| Full Name | Lighthouse Behavioral Wellness Centers |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2010 Boren Blvd, Seminole, 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 2010 Boren Blvd Seminole OK 74868-2050 Ph: (580) 223-5070 |
| NPI Number | 1669528303 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669528303 | NPI | - | NPPES |
| 100728830 L | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Lighthouse Behavioral Wellness Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Boren Blvd, Seminole, OK 74868 Phone: 405-382-4507 Fax: 405-382-5269 | |
Tricity Substance Abuse Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 E Oak Ave, Seminole, OK 74868 Phone: 405-382-1112 | |
Gateway To Prevention And Recovery Seminole Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Jefferson St, Seminole, OK 74868 Phone: 405-273-1170 Fax: 405-385-6604 | |
Tri-city Substance Abuse Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 E Oak Ave, Seminole, OK 74868 Phone: 405-382-1112 Fax: 405-382-5747 | |
Jennifer Cheatham, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Timmons St., Seminole, OK 74868 Phone: 405-220-7165 Fax: 405-382-2890 | |
Oklahoma Families First Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E Seminole Ave, Seminole, OK 74868 Phone: 405-360-2133 Fax: 405-360-4821 |