Provider Demographics
NPI:1669021036
Name:ONYEKACHI, BLESSING ANYAIWE (PMHNP)
Entity Type:Individual
Prefix:
First Name:BLESSING
Middle Name:ANYAIWE
Last Name:ONYEKACHI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2481 HURT RD SW STE C
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30008-6029
Mailing Address - Country:US
Mailing Address - Phone:678-687-6141
Mailing Address - Fax:
Practice Address - Street 1:2481 HURT RD SW STE C
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30008-6029
Practice Address - Country:US
Practice Address - Phone:678-305-9937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-09
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN219267363LP0808X
FLAPRN11006805363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty