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OBSIDIAN HEALTH AND WELLNESS LLC
NPI 1417593575
Clinic/Center - Adult Mental Health in Litchfield Park, AZ

Active since November 25, 2019
13321 W INDIAN SCHOOL RD STE A107, LITCHFIELD PARK, AZ 85340(623) 293-2232(623) 321-9524 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Obsidian Health And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBSIDIAN HEALTH AND WELLNESS LLC (NPI 1417593575) is a healthcare organization registered as an adult mental health in Litchfield Park, Arizona and active in the NPI registry since November 2019. The organization lists Deborah Grace, Consultant, as its authorized official.

NPPES Registry Identity

NPI1417593575
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameOBSIDIAN HEALTH AND WELLNESS LLC
Location Address13321 W INDIAN SCHOOL RD STE A107Litchfield Park, AZ 85340-4339
Mailing Address13321 W Indian School Rd Ste A107Litchfield Park, AZ 85340-4339 · (623) 293-2232 · Fax (623) 321-9524
Phone(623) 293-2232
Fax(623) 321-9524
Organization SubpartNo
Authorized OfficialDeborah GraceConsultant · (602) 696-3556
Enumeration DateNovember 25, 2019
✔ NPI 1417593575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
13321 W INDIAN SCHOOL RD STE A107, Litchfield Park, AZ 85340
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Other Identifiers 1

Medicaid435346AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obsidian Health And Wellness LLC's NPI number?

The NPI number for Obsidian Health And Wellness LLC is 1417593575. It was assigned to this organization in the NPPES registry on November 25, 2019.

Where is Obsidian Health And Wellness LLC located?

Obsidian Health And Wellness LLC is located at 13321 W Indian School Rd Ste A107, Litchfield Park, AZ 85340. The listed phone number is (623) 293-2232.

What is Obsidian Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Obsidian Health And Wellness LLC was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.