Provider Demographics
NPI:1629335617
Name:LEGGETT, KATHRYN J (LCMHC, LPC, RPT, MA)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:J
Last Name:LEGGETT
Suffix:
Gender:F
Credentials:LCMHC, LPC, RPT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 STOWE RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-8557
Mailing Address - Country:US
Mailing Address - Phone:704-840-3228
Mailing Address - Fax:
Practice Address - Street 1:501 STOWE RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-8557
Practice Address - Country:US
Practice Address - Phone:704-752-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8435101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional