LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS (NPI# 1154747384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154747384 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS |
| Practice Address |
1000 S Byrd St Tishomingo OK 73460-3265 |
| Mailing Address |
Po Box 189 Ardmore OK 73402-0189 |
| Practice Telephone | 5803713019 |
| Practice Fax Number | 5803710138 |
| Mailing Telephone | 5802235070 |
| Mailing Fax Number | 5802235617 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | DEANA THARP (DEPUTY EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5803197305 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
100728830 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100728830 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740672880 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 2425 W University Blvd Ste 100, Durant, OK 74701-2970 | 2015-02-26 |
| 1225378623 | Lighthouse Behavioral Wellness Centers | Community/Behavioral Health | 1219 K St Nw, Ste. #2, Ardmore, OK 73401-1801 | 2013-02-21 |
| 1033265764 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 301 W 4th St, Ada, OK 74820-3411 | 2007-01-26 |
| 1912053612 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 2530 S Commerce, Bldg B, Ardmore, OK 73401 | 2007-01-26 |
| 1427104546 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 2425 W University Blvd Ste 102, Durant, OK 74701-2970 | 2007-01-25 |
| 1598370298 | Lighthouse Behavioral Wellness Centers | Community/Behavioral Health | 414 W Muskogee Ave, Sulphur, OK 73086-4614 | 2020-09-10 |
| 1013542190 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 2425 W University Blvd, Durant, OK 74701-2970 | 2020-03-09 |
| 1649796590 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 2530 S Commerce St Bldg C, Ardmore, OK 73401-5519 | 2017-08-22 |
| 1720404932 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 109 S Willow St, Pauls Valley, OK 73075-3833 | 2014-03-12 |
| 1285050492 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 2010 Boren Blvd, Seminole, OK 74868-2050 | 2014-03-12 |
| Street Address |
1000 S BYRD ST |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108168 | Laura Anne Walgren | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2006-03-14 |
| 1376036616 | Elizabeth Morgan Haddock | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460 | 2018-06-12 |
| 1972809002 | Mercy Hospital Tishomingo, Inc | Emergency Medicine | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-02-08 |
| 1932404431 | Mercy Hospital Tishomingo, Inc. | Clinic/Center | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-01-14 |
| 1578868121 | Mercy Hospital Tishomingo, Inc. | Medicare Defined Swing Bed Unit | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-01-12 |
| 1356544399 | Acadiana Healthcare of Oklahoma, Inc. | General Acute Care Hospital | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2007-06-07 |
| 1588875504 | Johnston County Hospital LLC | Emergency Medicine | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2007-05-24 |
| 1659305274 | Samuel Jerry Tucker | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062253 | Tabor Behavioral Health LLC | Psychiatry & Neurology | 2615 Ridgeway St, Ardmore, OK 73401-2901 | 2020-01-07 |
| 1134783863 | Sarah Thi Tran | Psychiatry & Neurology | 4444 E 41st St Ste B, Tulsa, OK 74135-2527 | 2019-04-29 |
| 1356828305 | Dr. Peteryne D. Miller, M.d. LLC | Psychiatry & Neurology | 4870 S Lewis Ave Ste 205, Tulsa, OK 74105-5153 | 2018-07-23 |
| 1457852659 | Mindful Psychiatry, PC | Psychiatry & Neurology | 5014 E 101st St Ste 200, Tulsa, OK 74137-5803 | 2018-02-22 |
| 1700385481 | Reeder Psychiatry Pllc | Psychiatry & Neurology | 2515 Nw 16th St, Oklahoma City, OK 73107-4839 | 2018-02-07 |
| 1245752617 | Irfan Ahmed | Psychiatry & Neurology | 900 E. Main St., Norman, OK 73070 | 2017-07-07 |
| 1568997401 | Erin Walling | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste 3440, Oklahoma City, OK 73104-5036 | 2017-04-28 |
| 1992259501 | Tranquil Psychiatry Clinic,llc | Psychiatry & Neurology | 333 Nw 5th St, Apt. No. 1010, Oklahoma City, OK 73102-3080 | 2016-08-11 |
| 1053762807 | Daniel Pappas | Psychiatry & Neurology | 15225 Fairview Farm Rd., Edmond, OK 73013 | 2016-06-23 |
| 1679937197 | Geetika M Verma Md Plcc | Psychiatry & Neurology | 5100 N Brookline Ave Bldg Suite360, Oklahoma City, OK 73112-3623 | 2016-04-11 |
| Find all providers with the same taxonomy | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.