Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse Behavioral Wellness Centers

Organization Psychiatry Physician · NPI 1154747384

Lighthouse Behavioral Wellness Centers is a Psychiatry Physician in Tishomingo, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014

Practice location Address checks out

1000 S Byrd St
Tishomingo, OK 73460-3265
Phone: (580) 371-3019
Fax: (580) 371-0138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 100728830 (OK)

Record details

NPI number1154747384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deana Tharp — Deputy Executive Director · (580) 319-7305
NPI enumeratedMarch 12, 2014
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020
Mailing addressPo Box 189, Ardmore, OK 73402-0189