LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS (NPI# 1578989786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578989786 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS |
| Practice Address |
2530 S Commerce St Bldg B Ardmore OK 73401-5519 |
| Mailing Address |
Po Box 189 Ardmore OK 73402-0189 |
| Practice Telephone | 5802235636 |
| Practice Fax Number | 5802266727 |
| 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 |
| 1154747384 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2014-03-12 |
| 1720404932 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 109 S Willow St, Pauls Valley, OK 73075-3833 | 2014-03-12 |
| Street Address |
2530 S COMMERCE ST BLDG B |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073509022 | Mental Health Services of Southern Oklahoma | Case Management | 2530 S Commerce St, Building B, Ardmore, OK 73401-5519 | 2005-09-26 |
| 1164033015 | Nikki Renee Howard | Case Manager/Care Coordinator | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2020-08-13 |
| 1861019838 | Karlie L'nae Harper | Social Worker | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2020-06-25 |
| 1316577810 | Jessica Laurynn Higgins | Licensed Practical Nurse | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2020-01-23 |
| 1467092882 | Megan Mccleary | Peer Specialist | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2020-01-14 |
| 1477024453 | Tammy Marie West | Counselor | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2018-12-17 |
| 1457834517 | Nikkie Nicole Love | Health Educator | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2018-09-13 |
| 1033697388 | Sawyer Wall | Case Manager/Care Coordinator | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2018-07-30 |
| 1730691809 | Victoria Lynn Spraggins | Case Manager/Care Coordinator | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2017-10-30 |
| 1477071348 | Kisha Williams | Case Management | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| 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 |
| 1225577380 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 131 Valley Rd, Ardmore, PA 19003-1510 | 2017-02-21 |
| 1598032104 | Chandra Angelena Kee | Psychiatry & Neurology | 11 S Wyoming Ave Unit 9, Ardmore, PA 19003-1255 | 2011-11-27 |
| 1306173356 | Harvey Alan Horowitz | Psychiatry & Neurology | 125 Coulter Ave., Ardmore, PA 19003 | 2009-11-12 |
| 1083828560 | John Michael Rusk | Psychiatry & Neurology | 133 Coulter Ave Fl 2, Ardmore, PA 19003-2410 | 2007-05-10 |
| 1063767051 | Sandeep Shrestha | Psychiatry & Neurology | 1011 14th Ave Nw, Ardmore, OK 73401 | 2012-07-17 |
| 1194080424 | Aaron Tabor | Psychiatry & Neurology | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2012-07-12 |
| 1801084892 | Ann Marie Baker | Psychiatry & Neurology | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2007-10-04 |
| 1194942045 | Joseph Digiacomo | Psychiatry & Neurology | 121 Coulter Ave, Suite 108, Ardmore, PA 19003-2418 | 2007-04-20 |
| 1225174790 | William M Singletary | Psychiatry & Neurology | 119 Coulter Ave, Suite 200, Ardmore, PA 19003-2427 | 2007-01-30 |
| Find all providers in ARDMORE | ||||
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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.