Provider Demographics
NPI:1972126480
Name:BATTLE, TERRILYN (LCMHC-A, LCAS-A, CRC)
Entity type:Individual
Prefix:DR
First Name:TERRILYN
Middle Name:
Last Name:BATTLE
Suffix:
Gender:F
Credentials:LCMHC-A, LCAS-A, CRC
Other - Prefix:DR
Other - First Name:TERRILYN
Other - Middle Name:
Other - Last Name:BATTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC-A, LCAS-A, CRC
Mailing Address - Street 1:411 PARKWAY ST STE I
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1644
Mailing Address - Country:US
Mailing Address - Phone:336-301-9247
Mailing Address - Fax:855-899-6137
Practice Address - Street 1:411 PARKWAY ST STE I
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1644
Practice Address - Country:US
Practice Address - Phone:336-301-9247
Practice Address - Fax:855-899-6137
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-19
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X, 225C00000X
CRC-00116794101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor