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Organization
OBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE
Active
Organization
OBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE
Active
Other names
Obsidian Institute of Education and Research
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA WASHINGTON MA, LCPC, LMHC, NCC (DIRECTOR OF OPERATIONS)
(708) 462-2134
Entity
Organization
Contact information
Practice address
4718 147TH ST, MIDLOTHIAN, IL 60445-2527
(708) 704-0489
(888) 592-0804
Mailing address
4718 147TH ST, MIDLOTHIAN, IL 60445-2527
(708) 462-2134
(888) 592-0804
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/11/2017
Last updated
05/07/2026
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