Obsidian Holistic Services, LLC
NPI 1801409008 · Mental Health Clinic/Center (Including Community Mental Health Center) · Homewood, IL
Obsidian Holistic Services, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Homewood, IL (NPI 1801409008).
Provider details
- NPI number
- 1801409008
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Suga Bear Crafting Organization
- Organization subpart
- Yes
- Authorized official
- Erica Washington, Director of Operations(708) 462-2134
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 14741 Main StHarvey, IL 60426-1922Phone: (708) 462-2134
Registry dates
- Enumerated
- 2020-08-26
- Last updated
- 2023-03-23
- Certified
- 2023-03-23
Frequently asked questions
- What is Obsidian Holistic Services, LLC's NPI number?
- Obsidian Holistic Services, LLC's National Provider Identifier (NPI) is 1801409008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Obsidian Holistic Services, LLC?
- Obsidian Holistic Services, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Obsidian Holistic Services, LLC located?
- Obsidian Holistic Services, LLC's practice location on file with NPPES is 930 175th St Ste 1e, Homewood, IL 60430-2078.
- What is Obsidian Holistic Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Obsidian Holistic Services, LLC is (708) 462-2134.
- Who is the authorized official for Obsidian Holistic Services, LLC?
- The authorized official listed on Obsidian Holistic Services, LLC's NPPES record is Erica Washington, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Obsidian Holistic Services, LLC's NPI active?
- Yes — Obsidian Holistic Services, LLC's NPI (1801409008) is active in the NPPES registry as of the last update on 2023-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.