| Dfw Collaborative Behavioral Health Llc | |
|
3939 W Green Oaks Blvd Ste 214 Arlington TX 76016-2793 | |
| (817) 984-8804 | |
| (214) 380-4965 |
| Full Name | Dfw Collaborative Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3939 W Green Oaks Blvd Ste 214, Arlington, Texas |
| Authorized Official Name and Position | Kenyatta Black (OWNER) |
| Authorized Official Contact | 8179848804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfw Collaborative Behavioral Health Llc 3939 W Green Oaks Blvd Ste 202 Arlington TX 76016-2793 Ph: (817) 984-8804 | Dfw Collaborative Behavioral Health Llc 3939 W Green Oaks Blvd Ste 214 Arlington TX 76016-2793 Ph: (817) 984-8804 |
| NPI Number | 1013785021 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013785021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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