Healthcare Provider Details

I. General information

NPI: 1790792117
Provider Name (Legal Business Name): CHERYL LEE COLE LCPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18225 BURNHAM AVE SUITE 14
LANSING IL
60438-3059
US

IV. Provider business mailing address

18225 BURNHAM AVE SUITE 14
LANSING IL
60438-3059
US

V. Phone/Fax

Practice location:
  • Phone: 708-418-5227
  • Fax: 708-418-5237
Mailing address:
  • Phone: 708-418-5227
  • Fax: 708-418-5237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: