STONEGATE BEHAVIORAL HEALTH PC NPI 1306019468

NPI Information

  • NPI: 1306019468
  • Provider Name: STONEGATE BEHAVIORAL HEALTH PC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Other Name: ANDRE PUNCH
  • Address: 4686 BRISTOL TRACE TRL
    KELLER, TX
    ZIP 76248
  • Phone: (817) 300-1590

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NPI Details

STONEGATE BEHAVIORAL HEALTH PC is a mental health counselor in Keller, TX. STONEGATE BEHAVIORAL HEALTH PC NPI is 1306019468. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Andre Punch.

The provider's business location address is:

4686 BRISTOL TRACE TRL
KELLER, TX
ZIP 76248-947
Phone: (817) 300-1590

The provider's authorized official is Joe Eastham .
The authorized official title is Executive Director and has the following contact phone number (817) 300-1590.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 4/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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