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Organization
KINGDOM COVE MINISTRIES, LLC
Active
Organization
KINGDOM COVE MINISTRIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA RENEE HARRIS (OWNER)
(270) 693-3888
Entity
Organization
Contact information
Practice address
202 W 3RD ST STE 1, OWENSBORO, KY 42303-4123
(270) 693-3888
Mailing address
3750 RALPH AVE APT 518, OWENSBORO, KY 42303-2219
(270) 693-3888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
02/08/2018
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