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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
11/04/2025
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