| Organization Name: | STONEGATE COUNSELING ASSOCIATES, PC |
| NPI Number: | 1285993402 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH OLIVER BUCHA (PRESIDENT) |
| Mailing Address: | 650 Oglethorpe Ave Suite 6 Athens |
| State: | GA US |
| Postal Code: | 306062216 |
| Phone Number: | 7065467550 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2012 |
| NPI Last Update Date: | 05/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LPC006441 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |