Obsidian Behavioral Health Pllc

LBN: Obsidian Behavioral Health Pllc
Obsidian Behavioral Health Pllc is an health care organization with primary practice located at 103 N 11Th Ave Ste 105 , Saint Charles IL 60174-2289. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Obsidian Behavioral Health Pllc can be contacted via phone (630) 296-4169, or through Kovalik Bianchini, Lindsey via phone (630) 296-4169.

Contact Information

Primary practice address
103 N 11Th Ave Ste 105 Saint Charles IL 60174-2289
Phone: (630) 296-4169
Fax: (630) 296-9921
Website:
Map and Directions
Authorized official contact:
Name: Kovalik Bianchini, Lindsey LCSW, LISW-CP
Phone: (630) 296-4169

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1841873577
LBN Legal business name Obsidian Behavioral Health Pllc
DBA Doing business as
Authorized official Kovalik Bianchini, Lindsey LCSW, LISW-CP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2021
Last updated Sep 28th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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