| Arch Angel Services | |
|
4182 Worth Ave Ste 1-115 Columbus OH 43219-1535 | |
| (312) 474-6189 | |
| Not Available |
| Full Name | Arch Angel Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4182 Worth Ave Ste 1-115, Columbus, Ohio |
| Authorized Official Name and Position | Antuan Durall Wilbon (CEO/OWNER) |
| Authorized Official Contact | 7087432608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arch Angel Services 20 S 3rd St Ste 210 Columbus OH 43215-4206 Ph: (833) 427-2264 | Arch Angel Services 4182 Worth Ave Ste 1-115 Columbus OH 43219-1535 Ph: (312) 474-6189 |
| NPI Number | 1093453615 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093453615 | NPI | - | NPPES |
| 17014 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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