# MATCH HEALTHCARE CONSULTING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TELEPSYCHIATRIC LOUNGE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962020859
- **Authorized official:** DR. CHIKA O OKEM AKWIWU DNP. (NURSE PRACTITONER)
- **Authorized official phone:** (404) 547-3893

## Contact information

- **Practice address:** 6505 216TH ST SW STE 100, MOUNTLAKE TER, WA 98043-2089
- **Practice address phone:** (470) 594-2570
- **Practice address fax:** (470) 275-0775
- **Mailing address:** 3995 BONNETT CREEK LN, HOSCHTON, GA 30548-6205
- **Mailing address phone:** (470) 594-2570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2020
- **Last updated:** 09/28/2020