Obsidain Mental Health, Pllc

NPI #1972320984 in Lewiston, Idaho

Provider Information

NPI Number: 1972320984
Entity Type: Organization
Organization Name: Obsidain Mental Health, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 21, 2024
Last Updated: Sep 21, 2024

Practice Location

Address: 1034 MAIN ST
City: Lewiston
State: Idaho
ZIP Code: 83501-1842
Phone: (706) 979-1524

Authorized Official

Name: MS. CHRISTINE THOMAS, PMHNP-BC
Title: OWNER/PROVIDER
Phone: (706) 979-1524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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