| Doctor Name: | MS. KATIE JANE LEEGINS-VINSON |
| NPI Number: | 1104014976 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | C002715 |
| Business Practice Address: | 154 Beacon Dr Suite I Winterville, NC - 285907995 |
| Business Phone Number: | 2523531114 |
| Business Fax Number: | 2523531119 |
| Mailing Address: | 4300 Sapphire Ct Ste 110, GREENVILLE |
| State: | NC |
| Postal Code: | 278349079 |
| Phone Number: | 2528307561 |
| Fax Number: | 2524130932 |
| NPI Enumeration Date: | 10/05/2007 |
| NPI Last Update Date: | 08/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C002715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |