Provider Demographics
NPI:1790282994
Name:MORTON, DEONA SIMONE (PHD, LCPC)
Entity type:Individual
Prefix:
First Name:DEONA
Middle Name:SIMONE
Last Name:MORTON
Suffix:
Gender:F
Credentials:PHD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8609 2ND AVE STE 404B
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3374
Mailing Address - Country:US
Mailing Address - Phone:443-345-8951
Mailing Address - Fax:888-568-6057
Practice Address - Street 1:8609 2ND AVE STE 404B
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3374
Practice Address - Country:US
Practice Address - Phone:443-345-8951
Practice Address - Fax:855-240-5184
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP8570101Y00000X
MDLC10383101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor