Organization
OBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE
Active
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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