{"npi":"1013542190","type":"NPI-2","status":"active","name":{"display":"Lighthouse Behavioral Wellness Centers","other":[],"organization_name":"LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS","authorised_official":"Deana Tharp"},"specialty":{"primary_taxonomy":"2084P0802X","primary_taxonomy_description":"Addiction Psychiatry","slug":"addiction-psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0802X","description":"Addiction Psychiatry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2425 W UNIVERSITY BLVD","city":"DURANT","state":"OK","postal_code":"747012970","country_code":"US","phone":"5809247331","fax":"5809247332"},{"purpose":"MAILING","street_1":"2425 W UNIVERSITY BLVD-STE 100","city":"DURANT","state":"OK","postal_code":"747012970","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100728830","state":"OK","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-03-09","last_updated":"2020-05-20","_meta":{"source":"NPPES","snapshot_date":"2020-05-20","doc_url":"https://findmynpi.com/api"}}