institution
Lighthouse Behavioral Wellness Centers
Mental Health Clinic/Center (Including Community Mental Health Center) in Ada, Oklahoma
NPI 1033265764

Lighthouse Behavioral Wellness Centers is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Ardmore, OK and is specialized in Mental Health (Including Community Mental Health Center). Lighthouse Behavioral Wellness Centers practices in Ada, OK. The NPI Number for Lighthouse Behavioral Wellness Centers is 1033265764 and holds a License No. (Oklahoma).

The current practice location address for Lighthouse Behavioral Wellness Centers is 301 W 4Th St, Ada, OK and can be reached out via phone at 580-436-2690 and via fax at 580-436-5539. You can also correspond with Lighthouse Behavioral Wellness Centers through the mailing address at PO BOX 189, ARDMORE, OK - 73402-0189 (mailing address contact number: 580-319-7305).

Location: 301 W 4Th St, Ada, OK, 73402-0189
institution
Provider Profile Details
NPI Number
1033265764
Provider Name
Lighthouse Behavioral Wellness Centers
Credential
Provider Entity Type
Organization
Address
301 W 4Th St, Ada, OK, 73402-0189
Phone Number
580-436-2690
Fax Number
580-436-5539
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100728830 K 05 OK
institution
Provider Business Practice Location Address Details
Address
301 W 4Th St
City
Ada
State
Zip
74820-3411
Phone Number
580-436-2690
Fax Number
580-436-5539
person
Provider Business Mailing Address Details
Address
301 W 4Th St
City
Ada
State
Zip
74820-3411
Phone Number
580-436-2690
Fax Number
580-436-5539
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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