DFW Collaborative Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DFW COLLABORATIVE BEHAVIORAL HEALTH LLC

Practice address

3939 W Green Oaks Blvd Ste 214
Arlington, TX 76016-2793

Phone

(817) 984-8804

Fax

(214) 380-4965

NPI assigned

Dec 19, 2023

Last updated

Aug 28, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenyatta Black

Title

Owner

Phone

(817) 984-8804

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenyatta Black-Jacobs, M.A., LPC

  • Professional Counselor
  • Arlington, TX
  • NPI 1902188444
  NPD
• Chima Uduma

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
  • NPI 1386444735
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1013785021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 W GREEN OAKS BLVD STE 202",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162793",
            "telephone_number": "817-984-8804",
            "fax_number": "817-984-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W GREEN OAKS BLVD STE 214",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760162793",
            "telephone_number": "817-984-8804",
            "fax_number": "214-380-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW COLLABORATIVE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KENYATTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-984-8804"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Devries
• Devron System Inc (Simple RX Pharmacy)
• Gayla Dews
• Shannon Dezonia, FNP
• DFW 501a Corporation
• DFW Diagnostics
• DFW Distributors
• DFW Internal Medicine Clinic, PLLC
• DFW Lung Health PLLC
• DFW Multi Services, LLC

• Psychiatry Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.