Organization · Type 2 NPI

Lighthouse Behavioral Wellness Centers

Community/Behavioral Health Agency · Ada, OK

NPI number 1780347526 Active

Practice location

301 W 4th St
Ada, OK 74820-3411

Fax (580) 257-2445

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

56 other providers at this address

Other community/behavioral health agency providers in Ada

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NPI record

NPI: 1780347526
Entity type: Organization (Type 2)
Issued: Oct 19, 2021
Last updated: Oct 19, 2021
Status: Active
Subpart: Yes of Lighthouse Behavioral Wellness Centers

Other names

Ada Urc · doing business as
Ada Urc · former legal business name

Authorized official

Deana Tharp
Deputy Executive Director
(580) 319-7305

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780347526

Lighthouse Behavioral Wellness Centers's National Provider Identifier is 1780347526, issued on Oct 19, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Ada, OK. The record was last updated on Oct 19, 2021.