Healthcare Provider Details

I. General information

NPI: 1831541150
Provider Name (Legal Business Name): BROOKE GARCIA-NETTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 1ST AVE STE 101
STERLING IL
61081-3620
US

IV. Provider business mailing address

603 1ST AVE STE 101
STERLING IL
61081-3620
US

V. Phone/Fax

Practice location:
  • Phone: 815-285-3073
  • Fax: 815-285-3103
Mailing address:
  • Phone: 815-285-3073
  • Fax: 815-285-3103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.010319
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: