| Arch Angel Services | |
|
5851 Legacy Cir Fl 6 Plano TX 75024-5966 | |
| (312) 474-6189 | |
| Not Available |
| Full Name | Arch Angel Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5851 Legacy Cir Fl 6, Plano, Texas |
| Authorized Official Name and Position | Lisa Sullivan (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4404530754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arch Angel Services 5851 Legacy Cir Fl 6 Plano TX 75024-5966 Ph: () - | Arch Angel Services 5851 Legacy Cir Fl 6 Plano TX 75024-5966 Ph: (312) 474-6189 |
| NPI Number | 1215712021 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215712021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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