Individual
TYRINNA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13240 TIFFANY LN, WHITAKERS, NC 27891-9004
(252) 886-2062
Mailing address
13240 TIFFANY LN, WHITAKERS, NC 27891-9004
(252) 886-2062
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/01/2026
Last updated
01/06/2026
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