STONEGATE BEHAVIORAL HEALTH NPI 1790982783

NPI Information

NPI: 1790982783
Provider Name: STONEGATE BEHAVIORAL HEALTH
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4686 BRISTOL TRACE TRL
KELLER, TX
ZIP 76248
Phone: (817) 300-1590
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STONEGATE BEHAVIORAL HEALTH is a professional counselor in Keller, TX. STONEGATE BEHAVIORAL HEALTH NPI is 1790982783. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4686 BRISTOL TRACE TRL
KELLER, TX
ZIP 76248-947
Phone: (817) 300-1590
Fax: (817) 886-0504

The provider's authorized official is Joe Aaron 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 7/2/2007 and was last updated on 8/22/2020.

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
1	101YP2500X	Counselor	Professional	18235	TEXAS	Yes
2	106H00000X	Marriage & Family Therapist		5069	TEXAS	X

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: 5/5/2024

NPI Synchronization or Removal

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