# ELAINA TERRY, MA, LPC, NCC

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

## Provider details

- **NPI number:** 1770130445
- **Authorized official:** ELAINA R. TERRY LPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (252) 425-7527

## Contact information

- **Practice address:** 116 W CHURCH ST, CREEDMOOR, NC 27522-9747
- **Practice address phone:** (252) 425-7527
- **Mailing address:** 2227 BAYSWATER DR, CREEDMOOR, NC 27522-7837
- **Mailing address phone:** (252) 425-7527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2019
- **Last updated:** 11/27/2023