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NPI Code Detail

MEDICARE: POTOMAC CROSSROADS COUNSELING, LLC

MEDICARE: POTOMAC CROSSROADS COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1588873459
Entity Type Code : Organization
Provider Name (Legal Business Name) : POTOMAC CROSSROADS COUNSELING, LLC
Provider Business Mailing Address
First Line : PO BOX 192
Second Line :
City : SHEPHERDSTOWN
State : WV
Zip : 25443-0192
Country : US
Telephone Number : 304-876-2770
Fax Number :
Provider Business Practice Location Address
First Line : 4781 KEARNEYSVILLE PIKE
Second Line :
City : SHEPHERDSTOWN
State : WV
Zip : 25443-4666
Country : US
Telephone Number : 304-876-3500
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATHLEEN MOROTTI
Credential : LPC, LCDAC, ADTR
Telephone Number : 304-876-2770
Provider Enumeration Date : 05/21/2007
Last Update Date : 12/08/2025

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