Kingdom Logistics Group, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KINGDOM LOGISTICS GROUP, LLC

Doing business as

Transformative Family Counseling Services

Practice address

1548 Ellie Ave
Fayetteville, NC 28314-8523

Phone

(910) 391-6536

NPI assigned

Oct 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larissa Harris

Title

Manager

Phone

(910) 391-6536

Specialties & licenses 4

Addresses

Other names 1

• Transformative Family Counseling Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1083435481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 RAY AVE STE 6",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 ELLIE AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283148523",
            "telephone_number": "910-391-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM LOGISTICS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-391-6536"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformative Family Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Yvonne King, CNM
• Tywanda King
• Valorie Wynette King, PHD
• Yvonne M King, MSSW
• Michael Joseph Kingberg, DO
• Kingsley Momodu, DDS & Associates, PLLC
• Joyce Amaris Kinney
• Caroline Herring Kinsey, AU.D
• Theresa Kinzel, OTR
• Esther K Kiraya

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.