Healthcare Provider Details

I. General information

NPI: 1922963362
Provider Name (Legal Business Name): JAMILAH SABAH GARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W SANFORD ST
ARLINGTON TX
76011-7086
US

IV. Provider business mailing address

504 ROCKY CREEK DR
MANSFIELD TX
76063-8810
US

V. Phone/Fax

Practice location:
  • Phone: 817-569-4800
  • Fax:
Mailing address:
  • Phone: 817-542-3665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number117072
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: