| Keystone Behavioral Health, Psc | |
|
637 Highway 2077 Pineville KY 40977-8308 | |
| (606) 337-8496 | |
| (606) 337-8496 |
| Full Name | Keystone Behavioral Health, Psc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 637 Highway 2077, Pineville, Kentucky |
| Authorized Official Name and Position | Jodi Lefevers Carroll (OWNER) |
| Authorized Official Contact | 6063378496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Behavioral Health, Psc 637 Highway 2077 Pineville KY 40977-8308 Ph: (606) 337-8496 | Keystone Behavioral Health, Psc 637 Highway 2077 Pineville KY 40977-8308 Ph: (606) 337-8496 |
| NPI Number | 1538492160 |
|---|---|
| Provider Enumeration Date | 09/15/2009 |
| Last Update Date | 09/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538492160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1067 (Kentucky) | Primary |
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