Organization
OBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE
Active
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
4720 147TH ST, MIDLOTHIAN, IL 60445-2527
(708) 433-9890
(888) 592-0804
Mailing address
4720 147TH ST, MIDLOTHIAN, IL 60445-2527
(708) 704-0489
(888) 592-0804
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/27/2025
Last updated
04/02/2026
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