| Stonegate Behavioral Health, P.c. | |
|
4686 Bristol Trace Trl Keller TX 76248-6947 | |
| (817) 300-1590 | |
| (817) 886-0504 |
| Full Name | Stonegate Behavioral Health, P.c. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4686 Bristol Trace Trl, Keller, Texas |
| Authorized Official Name and Position | Joe Aaron Eastham (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8173001590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonegate Behavioral Health, P.c. Po Box 60722 Fort Worth TX 76115-6722 Ph: (817) 300-1590 | Stonegate Behavioral Health, P.c. 4686 Bristol Trace Trl Keller TX 76248-6947 Ph: (817) 300-1590 |
| NPI Number | 1366564064 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366564064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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