Organization
JAKIN BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERRA NICOLE BRIGHTWELL (OWNER)
(330) 819-1731
Entity
Organization
Contact information
Practice address
4500 MERCANTILE PLAZA DR STE 300, FORT WORTH, TX 76137-4206
(330) 819-1731
Mailing address
4500 MERCANTILE PLAZA DR STE 300, FORT WORTH, TX 76137-4206
(330) 819-1731
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/03/2022
Last updated
08/20/2026
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