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It was originally named Elkhorn, after an " elk's horn " that was found on the banks of Elkhorn Creek.
But, because there was already a town in Taylor County with the same name, the town had to be renamed in order to avoid confusion.
On October 16, 1882, the post office was renamed Praise for " Camp Praise-the-Lord ", a tent colony that was established by evangelist George O. Barnes for a revival there in August 1881.
In 1907, the C & O Railroad established a station in Praise that was named Elkhorn City.
Although Elkhorn City was incorporated as a city on November 4, 1912, the local post office was not renamed Elkhorn City until September 1, 1952, after local pressure for a uniform name.

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