# KINGDOM COVE MINISTRIES, LLC

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

## Provider details

- **NPI number:** 1861905242
- **Authorized official:** ANGELA RENEE HARRIS (OWNER)
- **Authorized official phone:** (270) 693-3888

## Contact information

- **Practice address:** 202 W 3RD ST STE 1, OWENSBORO, KY 42303-4123
- **Practice address phone:** (270) 693-3888
- **Mailing address:** 3750 RALPH AVE APT 518, OWENSBORO, KY 42303-2219
- **Mailing address phone:** (270) 693-3888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2017
- **Last updated:** 02/08/2018