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Organization

COLLABORATIVE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARIELLE TINGLE LMHC (OWNER)
(765) 581-3121
Entity
Organization

Contact information

Practice address
200 FERRY ST STE B, LAFAYETTE, IN 47901-1172
(765) 268-0183
(765) 374-2752
Mailing address
320 FERNLEAF DR, WEST LAFAYETTE, IN 47906-2126
(765) 581-3121
(765) 374-2752

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300072467
IN
Enumeration date
10/28/2020
Last updated
07/16/2025
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