Organization · Type 2 NPI

Obsidian Counseling and Wellness Center, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Norfolk, VA

NPI number 1508409152 Active

Practice location

6387 Center Dr Ste 19
Norfolk, VA 23502-4109

Call (757) 453-3051 Map

Mailing address

857 George Washington Hwy N Unit 6991
Chesapeake, VA 23323-1362

Other practice locations

6330 Newtown Rd Ste 525, Norfolk, VA 23502-4807 · (757) 453-3051

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

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NPI record

NPI: 1508409152
Entity type: Organization (Type 2)
Issued: Oct 25, 2019
Last updated: Apr 2, 2020
Status: Active

Other names

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Obsidian Counseling and Wellness Center · doing business as
Obsidian Counseling and Wellness Center · doing business as

Authorized official

Natasha Beckum, LPC
Chief Executive Officer/lpc
(757) 453-3051

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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 1508409152

Obsidian Counseling and Wellness Center, LLC's National Provider Identifier is 1508409152, issued on Oct 25, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Norfolk, VA. The record was last updated on Apr 2, 2020.