| Jakin Behavioral Health Services Llc | |
|
6714 Old Stone Dr Fort Worth TX 76137-2389 | |
| (330) 819-1731 | |
| Not Available |
| Full Name | Jakin Behavioral Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6714 Old Stone Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Tierra Nicole Brightwell (OWNER) |
| Authorized Official Contact | 3308191731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jakin Behavioral Health Services Llc 6714 Old Stone Dr Fort Worth TX 76137-2389 Ph: (330) 819-1731 | Jakin Behavioral Health Services Llc 6714 Old Stone Dr Fort Worth TX 76137-2389 Ph: (330) 819-1731 |
| NPI Number | 1003555244 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003555244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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