Organization · Type 2 NPI

Obsidian Institute of Integrative Medicine

Mental Health Counselor · Midlothian, IL

NPI number 1437682937 Active

Practice location

4718 147th St
Midlothian, IL 60445-2527

Call (708) 704-0489 Map

Fax (888) 592-0804

Other practice locations

4720 147th St, Midlothian, IL 60445-2527 · (708) 704-0489
14741 Main St, Harvey, IL 60426-1922 · (708) 462-2134

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

Another provider at this address

Ruben Manuel Lopez Iii, LPCMental Health Counselor Midlothian, IL NPI 1265322937

NPI record

NPI: 1437682937
Entity type: Organization (Type 2)
Issued: Apr 11, 2017
Last updated: May 7, 2026
Status: Active

Other names

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Obsidian Institute of Education and Research · doing business as

Authorized official

Erica Washington, MA, LCPC, LMHC, NCC
Director of Operations
(708) 462-2134

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437682937

Obsidian Institute of Integrative Medicine's National Provider Identifier is 1437682937, issued on Apr 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Midlothian, IL. The record was last updated on May 7, 2026.