Provider Demographics
NPI:1528676590
Name:WEST BRANCH WELLNESS LC
Entity type:Organization
Organization Name:WEST BRANCH WELLNESS LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:POLLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC LADC-1
Authorized Official - Phone:508-636-8776
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02801-0155
Mailing Address - Country:US
Mailing Address - Phone:508-294-6533
Mailing Address - Fax:
Practice Address - Street 1:1211 GAR HWY
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-4225
Practice Address - Country:US
Practice Address - Phone:508-294-6533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty