OLIVE BRANCH INTEGRATIVE MENTAL WELLNESS LLC NPI 1790472124

NPI Information

  • NPI: 1790472124
  • Provider Name: OLIVE BRANCH INTEGRATIVE MENTAL WELLNESS, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • CLIA Number: 08D2302596
  • Address: 31 GOODEN AVE
    DOVER, DE
    ZIP 19904
  • Phone: (302) 242-5463

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NPI Details

OLIVE BRANCH INTEGRATIVE MENTAL WELLNESS, LLC is a psychiatric/mental health nurse practitioner in Dover, DE. OLIVE BRANCH INTEGRATIVE MENTAL WELLNESS, LLC NPI is 1790472124. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

31 GOODEN AVE
DOVER, DE
ZIP 19904-143
Phone: (302) 242-5463

The provider's authorized official is Morgan Webb .
The authorized official title is Owner/pmhnp-bc and has the following contact phone number (302) 480-9422.

The CLIA number assigned to this NPI record is 08D2302596 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2023 and was last updated on 10/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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