Olive Branch Clinic Llc
LBN: Olive Branch Clinic Llc
Olive Branch Clinic Llc is an health care organization with primary practice located at 2000 Auburn Dr Ste 200 , Beachwood OH 44122-4328. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Olive Branch Clinic Llc can be contacted via phone (216) 300-7500, or through Young, Teara Nicole via phone (216) 300-7500.
Contact Information
Primary practice address
2000 Auburn Dr Ste 200
Beachwood OH 44122-4328
Phone: (216) 300-7500
Fax: (216) 300-1900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X |
Profile Details
| NPI number | 1154245082 |
|---|---|
| LBN Legal business name | Olive Branch Clinic Llc |
| DBA Doing business as | |
| Authorized official | Young, Teara Nicole MSN, PMHNP-BC, DNP-C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2026 |
| Last updated | Aug 5th, 2026 - about 3 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154245082 | NPPES |
| Ohio | MEDICAID | 719448 |
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