Healthcare Provider Details

I. General information

NPI: 1578489555
Provider Name (Legal Business Name): COLLEEN ROACH NARBONE LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 THORNHILL DR
CAROL STREAM IL
60188-2706
US

IV. Provider business mailing address

5237 ERNST CT
WESTERN SPRINGS IL
60558-2038
US

V. Phone/Fax

Practice location:
  • Phone: 630-752-9750
  • Fax:
Mailing address:
  • Phone: 773-425-8137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.018473
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: