Obsidian Holistic Services, Llc

LBN: Obsidian Holistic Services, Llc
Obsidian Holistic Services, Llc is an health care organization with primary practice located at 930 175Th St Ste 1E , Homewood IL 60430-2078. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Acupuncturist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Obsidian Holistic Services, Llc can be contacted via phone (708) 462-2134, or through Washington, Erica via phone (708) 462-2134.

Contact Information

Primary practice address
930 175Th St Ste 1E Homewood IL 60430-2078
Phone: (708) 462-2134
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Washington, Erica MA, LCPC, LMHC, NCC
Phone: (708) 462-2134

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Acupuncturist 171100000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1801409008
LBN Legal business name Obsidian Holistic Services, Llc
DBA Doing business as
Authorized official Washington, Erica MA, LCPC, LMHC, NCC
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 26th, 2020
Last updated Mar 23rd, 2023 - about 3 years 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.

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