Organization
ARCH ANGEL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTUAN DURALL WILBON (CEO/OWNER)
(708) 743-2608
Entity
Organization
Contact information
Practice address
4182 WORTH AVE STE 1-115, COLUMBUS, OH 43219-1535
(312) 474-6189
Mailing address
20 S 3RD ST STE 210, COLUMBUS, OH 43215-4206
(833) 427-2264
(773) 260-1479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17014
—
IL
Enumeration date
05/24/2022
Last updated
07/11/2023
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