Lighthouse Behavioral Wellness Centers
Lighthouse Behavioral Wellness Centers is a healthcare organization registered as Psychiatry Physician in Durant, OK, holding Type 2 (organization) NPI 1194141309 since 2014. The authorized official on file is Deana Tharp, Deputy Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194141309 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lighthouse Behavioral Wellness Centers |
| Practice address | 2425 W UNIVERSITY BLVD STE 102, Durant, OK, 74701 |
| Phone | 5809247330 |
| Fax | 5809247334 |
| Enumeration date | 2014-03-12 |
| Last updated in NPPES | 2020-05-20 |
Authorized official
| Name | Deana Tharp |
|---|---|
| Title | Deputy Executive Director |
| Phone | 5801973053 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician | Primary | 100728830 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100728830 | Medicaid | OK | — |
Copy-ready billing details
Provider: Lighthouse Behavioral Wellness Centers NPI: 1194141309 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 2425 W UNIVERSITY BLVD STE 102, Durant, OK, 74701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1427104546 | Lighthouse Behavioral Wellness Centers | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Durant, OK |
| 1174812879 | Lori Black | Individual | Case Manager/Care Coordinator | Durant, OK |
| 1255670931 | Amanda Rodgers | Individual | Case Manager/Care Coordinator | Durant, OK |
| 1083096978 | Marshelldra Cook | Individual | Peer Specialist | Durant, OK |
| 1407211402 | Kendra Mathis | Individual | Counselor | Durant, OK |
| 1891205035 | Ashlee Hale | Individual | Counselor | Durant, OK |
| 1982361994 | Dana Hammond | Individual | Case Manager/Care Coordinator | Durant, OK |
| 1932868395 | Jennifer Pinson | Individual | Case Manager/Care Coordinator | Durant, OK |
Verify this record
Cross-check NPI 1194141309 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
Who is the authorized official for Lighthouse Behavioral Wellness Centers?
What is the NPI number for Lighthouse Behavioral Wellness Centers?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-05-20.