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Organization
MATCH HEALTHCARE CONSULTING
Active
Organization
MATCH HEALTHCARE CONSULTING
Active
Other names
TELEPSYCHIATRIC LOUNGE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIKA O OKEM AKWIWU DNP. (NURSE PRACTITONER)
(404) 547-3893
Entity
Organization
Contact information
Practice address
6505 216TH ST SW STE 100, MOUNTLAKE TER, WA 98043-2089
(470) 594-2570
(470) 275-0775
Mailing address
3995 BONNETT CREEK LN, HOSCHTON, GA 30548-6205
(470) 594-2570
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
09/28/2020
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