LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS (NPI# 1598370298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598370298 |
Entity Type | Organization |
Organization Name | LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS |
Practice Address |
414 W Muskogee Ave Sulphur OK 73086-4614 |
Practice Telephone | 5803197305 |
Enumeration Date | 2020-09-10 |
Last Update Date | 2020-09-10 |
Authorized Official Name | MAUNA LIA (ADMINISTRATIVE ASSISTANT) |
Authorized Official Telephone | 5803197305 |
Is Organization Subpart | Y |
Parent Organization Name | LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Mental Health Services of Southern Oklahoma | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740672880 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 2425 W University Blvd Ste 100, Durant, OK 74701-2970 | 2015-02-26 |
1225378623 | Lighthouse Behavioral Wellness Centers | Community/Behavioral Health | 1219 K St Nw, Ste. #2, Ardmore, OK 73401-1801 | 2013-02-21 |
1033265764 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 301 W 4th St, Ada, OK 74820-3411 | 2007-01-26 |
1912053612 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 2530 S Commerce, Bldg B, Ardmore, OK 73401 | 2007-01-26 |
1427104546 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 2425 W University Blvd Ste 102, Durant, OK 74701-2970 | 2007-01-25 |
1013542190 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 2425 W University Blvd, Durant, OK 74701-2970 | 2020-03-09 |
1649796590 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 2530 S Commerce St Bldg C, Ardmore, OK 73401-5519 | 2017-08-22 |
1154747384 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2014-03-12 |
1720404932 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 109 S Willow St, Pauls Valley, OK 73075-3833 | 2014-03-12 |
1285050492 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 2010 Boren Blvd, Seminole, OK 74868-2050 | 2014-03-12 |
Street Address |
414 W MUSKOGEE AVE |
City | SULPHUR |
State | OK |
Zip Code | 73086-4614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831245885 | Mental Health Services of Southern Oklahoma | Clinic/Center | 414 W Muskogee Ave, Sulphur, OK 73086-4614 | 2007-01-25 |
1184760399 | Mental Health Services of Southern Oklahoma | Case Management | 414 W Muskogee Ave, Sulphur, OK 73086-4614 | 2007-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124680079 | Arbuckle Chiropractic LLC | Chiropractor | 1500 W. 1st St, Sulphur, OK 73086 | 2019-07-01 |
1205959046 | Teresa Truelock | Contractor | 606 Circle Top Dr., Sulphur, OK 73086 | 2007-04-09 |
1215021894 | Diane Michele Rowe | Pharmacist | 815 W. Broadway, Sulphur, OK 73086 | 2006-10-03 |
1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
1154428696 | David R Pittman | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-09-19 |
1730541673 | Arbuckle Memorial Hospital | Clinic/Center | 2011 W Broadway Ave, Sulphur, OK 73086 | 2016-03-21 |
1073957049 | Brandon S Drabek | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086 | 2013-04-22 |
1699858134 | Sooner Pharmacy | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-10-20 |
1811058589 | Evan Lee Bragg | Optometrist | 1010 West 3rd St, Sulphur, OK 73086-0499 | 2006-12-13 |
1265719850 | Wendie Renea Butts | Counselor | 3183 W 14th St, Sulphur, OK 73086-1117 | 2011-11-09 |
Find all providers in zip 73086 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912566936 | Possibilities Counseling Services LLC | Community/Behavioral Health | 1003 S Huntington St, Sulphur, LA 70663-4837 | 2019-06-12 |
1093072126 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 2600 W Broadway Ave Ste 2, Sulphur, OK 73086-6510 | 2012-04-13 |
1851933576 | Possibilities Counseling Services Foundation | Community/Behavioral Health | 1003 S Huntington St, Sulphur, LA 70663-4837 | 2019-10-14 |
1336344993 | Counseling, Inc. | Community/Behavioral Health | 921 W 11th St, Suite 107, Sulphur, OK 73086-4459 | 2007-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.