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Lighthouse Behavioral Wellness Centers

Lighthouse Behavioral Wellness Centers is a healthcare organization registered as Addiction Psychiatry Physician in Durant, OK, holding Type 2 (organization) NPI 1013542190 since 2020. The authorized official on file is Deana Tharp, Deputy Executive Directcor.

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NPI 1013542190
Entity type Organization (Type 2)
Legal business name Lighthouse Behavioral Wellness Centers
Practice address 2425 W UNIVERSITY BLVD, Durant, OK, 74701
Phone 5809247331
Fax 5809247332
Enumeration date 2020-03-09
Last updated in NPPES 2020-05-20

Authorized official

Name Deana Tharp
Title Deputy Executive Directcor
Phone 5803197305

Taxonomy & classification

Taxonomy code Specialty Primary License State
2084P0802X Addiction Psychiatry Physician Primary

Other identifiers

Identifier Type State Issuer
100728830 Medicaid OK
Copy-ready billing details
Provider: Lighthouse Behavioral Wellness Centers
NPI: 1013542190
Taxonomy: 2084P0802X (Addiction Psychiatry Physician)
Address: 2425 W UNIVERSITY BLVD, Durant, OK, 74701

Providers at this address

NPI Name Type Specialty Location
1518087899 Charles Bachmann Individual Dentist Durant, OK
1205956521 Dental Associates of Durant, Pllc Organization Dentist Durant, OK
1760664015 Casey A Roberts DDS PC Organization General Practice Dentistry Durant, OK
1649454273 Kenneth L. Cone DDS, PC Organization General Practice Dentistry Durant, OK
1598949125 Charles W. Bachmann III, DDS PC Organization General Practice Dentistry Durant, OK
1861032344 Lucas Wright Individual Case Manager/Care Coordinator Durant, OK
1023648607 Courtney Jackson Individual Mental Health Counselor Durant, OK
1093349003 Mental Health Service of Southern Oklahoma Organization Community/Behavioral Health Agency Durant, OK

Verify this record

Cross-check NPI 1013542190 against the authoritative CMS record: view Lighthouse Behavioral Wellness Centers on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lighthouse Behavioral Wellness Centers?
Lighthouse Behavioral Wellness Centers is registered in NPPES as a Addiction Psychiatry Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-05-20.