Organization Active NPI

Olive Branch Integrative Mental Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dover, DE
National Provider Identifier
1790472124
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OLIVE BRANCH INTEGRATIVE MENTAL WELLNESS, LLC
Doing business as
Olive Branch Integrative Mental Wellness, LLC
Practice address
31 Gooden Ave
Dover, DE 19904-4143
Phone
(302) 242-5463
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Morgan Webb, APRN-PMHNP-BC
Title
Owner/Pmhnp-BC
Phone
(302) 480-9422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

31 Gooden Ave
Dover, DE 19904-4143

Mailing address

31 Gooden Ave
Dover, DE 19904-4143
Phone (302) 480-9422

Other names 1

  • Olive Branch Integrative Mental Wellness, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809000616 DE Part B Supplier - Clinic/Group Practice 6103288188 Practice locations: Dover, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2302596Olive Branch Integrative Mental Wellness, LLC31 Gooden Ave, Dover, DE 19904Certificate of waiverApr 11, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1790472124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GOODEN AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044143",
            "telephone_number": "302-480-9422",
            "fax_number": "833-974-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GOODEN AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044143",
            "telephone_number": "302-242-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH INTEGRATIVE MENTAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER/PMHNP-BC",
        "authorized_official_telephone_number": "302-480-9422",
        "authorized_official_credential": "APRN-PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Branch Integrative Mental Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.