We are  located completely within the boundary of Appalachia. Our 140 congregations are tucked among the forested mountains, nestled in the river valleys, found in coal mining camps and villages, located  near the growing recreation centers and established within the towns and cities in forty-one counties of the state.  About two-thirds of our congregations are identified as small churches with fewer than one hundred members.
 

We are responsible for the mission and government of the Presbyterian Church (U.S.A.) and its congregations throughout 41 counties of our state (plus two counties in neighboring states).  It assists in making connections between local congregations and the mission of the more inclusive governing bodies of our church.

We also provide inspirational leadership and resources to congregations for faithful, vital ministry and witness, to the end that congregations move beyond survival to mission.