OrganizationActive
Lighthouse Behavioral Wellness Centers
NPI 1154747384 · Psychiatry Physician · Tishomingo, OK
Provider details
- NPI number
- 1154747384
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deana Tharp, Deputy Executive Director(580) 319-7305
- License
- 100728830 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 S Byrd St
Tishomingo, OK 73460-3265
Phone: (580) 371-3019
Fax: (580) 371-0138
Street-level locationGet directions
Mailing address
Po Box 189
Ardmore, OK 73402-0189
Registry dates
- Enumerated
- 2014-03-12
- Last updated
- 2020-05-20
- Certified
- 2020-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.