Provider Demographics
NPI:1487194387
Name:POLLEN8, INC.
Entity Type:Organization
Organization Name:POLLEN8, INC.
Other - Org Name:APPALACHIAN BEHAVIORAL HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LAWS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:304-389-0803
Mailing Address - Street 1:815 QUARRIER ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-2652
Mailing Address - Country:US
Mailing Address - Phone:304-389-0803
Mailing Address - Fax:681-205-8595
Practice Address - Street 1:815 QUARRIER ST
Practice Address - Street 2:SUITE 202
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-2652
Practice Address - Country:US
Practice Address - Phone:304-389-0803
Practice Address - Fax:681-205-8595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
WV30228429252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251S00000XAgenciesCommunity/Behavioral Health