Healthcare Provider Details

I. General information

NPI: 1588873459
Provider Name (Legal Business Name): POTOMAC CROSSROADS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4781 KEARNEYSVILLE PIKE
SHEPHERDSTOWN WV
25443-4666
US

IV. Provider business mailing address

PO BOX 192
SHEPHERDSTOWN WV
25443-0192
US

V. Phone/Fax

Practice location:
  • Phone: 304-876-3500
  • Fax:
Mailing address:
  • Phone: 304-876-2770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN MOROTTI
Title or Position: OWNER
Credential: LPC, LCDAC, ADTR
Phone: 304-876-2770