Provider Demographics
NPI:1013358035
Name:LANKFORD, TERRI KISER (LPC, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:KISER
Last Name:LANKFORD
Suffix:
Gender:F
Credentials:LPC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 MAINLINE STATION DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6112
Mailing Address - Country:US
Mailing Address - Phone:984-244-2111
Mailing Address - Fax:888-789-5440
Practice Address - Street 1:5920 S MIAMI BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-0217
Practice Address - Country:US
Practice Address - Phone:984-244-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9053101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor