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

Pennington Creek Lifehouse

Organization Community/Behavioral Health Agency · NPI 1831464304

Pennington Creek Lifehouse is a Community/Behavioral Health Agency in Tishomingo, Oklahoma. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

801 E Main St
Tishomingo, OK 73460-2351
Phone: (580) 371-3799
Fax: (580) 371-2056
Show map & directions

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1831464304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Owens — Owner · (580) 371-3799
NPI enumeratedMarch 16, 2012
Last updated in NPPESMarch 16, 2012
Mailing address801 E Main St, Tishomingo, OK 73460-2351

Other providers in Tishomingo