Healthcare Provider Details

I. General information

NPI: 1235357146
Provider Name (Legal Business Name): KRISTINA COBB DAVIES LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTINA JOYCE COBB MED/ BS, MHA

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 BLACK ST
BARBOURVILLE KY
40906-1483
US

IV. Provider business mailing address

230 KNOX ST
BARBOURVILLE KY
40906-1428
US

V. Phone/Fax

Practice location:
  • Phone: 606-219-4676
  • Fax: 606-896-2080
Mailing address:
  • Phone: 606-219-4676
  • Fax: 606-896-2080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1279
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number102103
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: