# ARCH ANGEL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093453615
- **Authorized official:** ANTUAN DURALL WILBON (CEO/OWNER)
- **Authorized official phone:** (708) 743-2608

## Contact information

- **Practice address:** 4182 WORTH AVE STE 1-115, COLUMBUS, OH 43219-1535
- **Practice address phone:** (312) 474-6189
- **Mailing address:** 20 S 3RD ST STE 210, COLUMBUS, OH 43215-4206
- **Mailing address phone:** (833) 427-2264
- **Mailing address fax:** (773) 260-1479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2022
- **Last updated:** 07/11/2023