Provider Demographics
NPI:1790969913
Name:LEGRAND, KATHRYN (LPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:LEGRAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:HISTED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2200 LAKESHORE DR STE 150
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-8832
Mailing Address - Country:US
Mailing Address - Phone:205-655-0585
Mailing Address - Fax:205-655-0586
Practice Address - Street 1:3504 VANN RD STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3221
Practice Address - Country:US
Practice Address - Phone:205-655-0585
Practice Address - Fax:205-655-0586
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2194101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health