# BRACKEN MENTAL HEALTH A PROFESSIONAL ASSOCIATION.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bracken Psychiatric Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316160807
- **Authorized official:** DR. JILL W BRACKEN D.O. (PHYSICIAN)
- **Authorized official phone:** (972) 278-5385

## Contact information

- **Practice address:** 3200 SOUTHERN DR, \#107, GARLAND, TX 75043-1549
- **Practice address phone:** (972) 278-5385
- **Practice address fax:** (972) 692-8687
- **Mailing address:** 3200 SOUTHERN DR, \#107, GARLAND, TX 75043-1549
- **Mailing address phone:** (972) 278-5385
- **Mailing address fax:** (972) 692-8687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | K6992 | TX | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 03/03/2015