Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lighthouse Behavioral Wellness Centers

Organization Psychiatry Physician · NPI 1720404932

Lighthouse Behavioral Wellness Centers provides Psychiatry Physician services in Pauls Valley, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014

Practice location Address checks out

109 S Willow St
Pauls Valley, OK 73075-3833
Phone: (405) 238-7311
Fax: (405) 238-3530
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 number1720404932
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