STONEGATE BEHAVIORAL HEALTH, P.C.
Mental Health at Bristol Trace Trl, Keller, TX

License number
Texas 59857
Category
Mental Health
Type
Mental Health
Owner
Name: JOE EASTHAM LMFT, LPC
Title: EXECUTIVE DIRECTOR
Phone: (817) 300-1590
Address
Address
4686 Bristol Trace Trl, Keller, TX 76248
National Provider ID: 1457522104
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STONEGATE BEHAVIORAL HEALTH, PC

Keller, TX  -  Fort Worth, TX

Industry:
Health/Allied Services
Registration:
Apr 10, 2006
Addresses:
4686 Bristol Trce Trl, Keller, TX 76244 (Mailing)
PO Box 60722, Fort Worth, TX 76115
PO Box 2228, Keller, TX 76244
State ID:
0800639492
Business type:
Domestic Professional Corporation
President, Directors:
Joe A Eastham (Member, Executive Director), 4686 Bristol Trce Trl, Keller, TX 76248,Kyle B. Hargrove President, Director, inactive
TIN:
32019546822

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