Provider Demographics
NPI:1659793636
Name:KOLLANGI, ARIEL E (LPCC)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:E
Last Name:KOLLANGI
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25101 CHAGRIN BLVD STE 100&200
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5643
Mailing Address - Country:US
Mailing Address - Phone:833-660-0239
Mailing Address - Fax:216-456-8128
Practice Address - Street 1:25101 CHAGRIN BLVD STE 100&200
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5643
Practice Address - Country:US
Practice Address - Phone:833-660-0239
Practice Address - Fax:216-456-8128
Is Sole Proprietor?:No
Enumeration Date:2014-01-10
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2404458101YP2500X
MECC4635101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional