# KENTUCKY BEHAVIORAL HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1669238903
- **Authorized official:** ALEX JONES (ADMINISTRATION)
- **Authorized official phone:** (606) 383-0780

## Contact information

- **Practice address:** 698 FAWN VALLEY RD, CORBIN, KY 40701-7473
- **Practice address phone:** (606) 383-0780
- **Mailing address:** PO BOX 976, CORBIN, KY 40702-0976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 02/26/2024