Organization
ARCH ANGEL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SULLIVAN (CREDENTIALING SPECIAILIST)
(440) 453-0754
Entity
Organization
Contact information
Practice address
100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
(312) 474-6189
Mailing address
100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
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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