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KeyStone Behavioral Health, P.S.C.

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Company Details

Name: KeyStone Behavioral Health, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Aug 2009 (16 years ago)
Organization Date: 10 Aug 2009 (16 years ago)
Last Annual Report: 08 Sep 2010 (15 years ago)
Organization Number: 0736344
ZIP code: 40977
City: Pineville, Balkan, Callaway, Cary, Chenoa, Clear Cr...
Primary County: Bell County
Principal Office: 637 Highway 2077, Pineville, KY 40977
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
Jodi Lefevers Carroll Registered Agent

President

Name Role
JODI LEFEVERS CARROLL President

Shareholder

Name Role
JODI LEFEVERS CARROLL Shareholder

Incorporator

Name Role
Jodi Lefevers Carroll Incorporator

Organizer

Name Role
Jodi Lefevers Carroll Organizer

National Provider Identifier

NPI Number:
1538492160

Authorized Person:

Name:
JODI LEFEVERS CARROLL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
6063378496

Filings

Name File Date
Annual Report 2010-09-08
Dissolution 2010-09-08

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Sources: Kentucky Secretary of State