Healthcare Provider Details

I. General information

NPI: 1518336270
Provider Name (Legal Business Name): DR. CHRISTA MORTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTA MARIE MORTON PSYD

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 09/11/2025
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 PROFESSIONAL CT
MARTINSBURG WV
25401-8808
US

IV. Provider business mailing address

2004 PROFESSIONAL CT
MARTINSBURG WV
25401-8808
US

V. Phone/Fax

Practice location:
  • Phone: 304-596-5780
  • Fax: 304-596-5781
Mailing address:
  • Phone: 304-596-5780
  • Fax: 304-596-5781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP6581
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: