NPI Index

OBSIDIAN HOLISTIC SERVICES, LLC

Clinic/Center - Mental Health (Including Community Mental Health Center)

Active Organization
NPI: 1801409008

Practice Address

930 175TH ST STE 1E
Homewood, IL 60430

Phone: (708) 462-2134

Specialties

Specialty Code Primary License
Clinic/Center - Adult Mental Health 261QM0850X No -
Clinic/Center - Adolescent and Children Mental Health 261QM0855X No -
Clinic/Center - Multi-Specialty 261QM1300X No -
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Counselor - Mental Health 101YM0800X No -
Behavior Analyst 103K00000X No -
Social Worker 104100000X No -
Social Worker - Clinical 1041C0700X No -
Marriage & Family Therapist 106H00000X No -
Acupuncturist 171100000X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X Yes -

Frequently Asked Questions

NPI 1801409008 is the National Provider Identifier for OBSIDIAN HOLISTIC SERVICES, LLC, a Clinic/Center - Mental Health (Including Community Mental Health Center) provider located in Homewood, IL. This NPI was enumerated on August 26, 2020.

Quick Facts

NPI
1801409008
Type
Organization
Enumerated
Aug 26, 2020
Last Updated
Mar 23, 2023

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