Organization Name: | POTOMAC CROSSROADS COUNSELING, LLC |
NPI Number: | 1588873459 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN MOROTTI (OWNER) |
Mailing Address: | 129 E German St Shepherdstown |
State: | WV US |
Postal Code: | 254430192 |
Phone Number: | 3048762770 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |