Provider Demographics
NPI:1689189995
Name:DARNOLD, NOELLE
Entity type:Individual
Prefix:MRS
First Name:NOELLE
Middle Name:
Last Name:DARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NOELLE
Other - Middle Name:
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:952 ARVLE CIR
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-9517
Mailing Address - Country:US
Mailing Address - Phone:815-914-1886
Mailing Address - Fax:
Practice Address - Street 1:604 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCHELLE
Practice Address - State:IL
Practice Address - Zip Code:61068-1686
Practice Address - Country:US
Practice Address - Phone:815-501-2088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-08
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL18001405101YP2500X
178014161101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional