| Conference | Coach | School |
| Southwestern | Greg Weaver * | South Mecklenburg |
| Greater Neuse River | Kelly Connelly * | East Wake |
| Joe Walls * | Garner | |
| Central Piedmont | Scott Larson * | Reagan |
| Mid-South | Gil Bowman * | Fayetteville Terry Sanford |
| PAC 6 | Lindsey Linker * | East Chapel Hill |
| Tri-9 | Beth Hedgepeth * | Green Hope |
| I-Meck | Tim Smith * | Mooresville High School |
Women's Tennis 2010 Coach of the Year 4-A