Organization
ARCH ANGEL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SULLIVAN (CREDENTIALING SPECIALIST)
(440) 453-0754
Entity
Organization
Contact information
Practice address
5851 LEGACY CIR FL 6, PLANO, TX 75024-5966
(312) 474-6189
Mailing address
5851 LEGACY CIR FL 6, PLANO, TX 75024-5966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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