# KEYSTONE BEHAVIORAL HEALTH, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538492160
- **Authorized official:** JODI LEFEVERS CARROLL LCSW (OWNER)
- **Authorized official phone:** (606) 337-8496

## Contact information

- **Practice address:** 637 HIGHWAY 2077, PINEVILLE, KY 40977-8308
- **Practice address phone:** (606) 337-8496
- **Practice address fax:** (606) 337-8496
- **Mailing address:** 637 HIGHWAY 2077, PINEVILLE, KY 40977-8308
- **Mailing address phone:** (606) 337-8496
- **Mailing address fax:** (606) 337-8496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1067 | KY | Yes |

## Other

- **Enumeration date:** 09/15/2009
- **Last updated:** 09/15/2009