# OLIVE BRANCH CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154245082
- **Authorized official:** MS. TEARA NICOLE YOUNG MSN, PMHNP-BC, DNP-C (OWNER/PROVIDER)
- **Authorized official phone:** (216) 300-7500

## Contact information

- **Practice address:** 2000 AUBURN DR STE 200, BEACHWOOD, OH 44122-4328
- **Practice address phone:** (216) 300-7500
- **Practice address fax:** (216) 300-1900
- **Mailing address:** 2000 AUBURN DR STE 200, BEACHWOOD, OH 44122-4328
- **Mailing address phone:** (216) 300-7500
- **Mailing address fax:** (216) 300-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/05/2026
- **Last updated:** 08/05/2026