Healthcare Provider Details

I. General information

NPI: 1033730619
Provider Name (Legal Business Name): TWIN BRANCH WELLNESS & RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2020
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1471 DAVIS MILL RD
LANCASTER VA
22503-2111
US

IV. Provider business mailing address

PO BOX 652
MECHANICSVILLE VA
23111-0652
US

V. Phone/Fax

Practice location:
  • Phone: 804-426-5989
  • Fax:
Mailing address:
  • Phone: 804-426-5989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMY M HARVEY
Title or Position: MEMBER
Credential:
Phone: 804-426-5989