Provider Demographics
NPI:1295396489
Name:GENTZEL, BROOKE NICHOLE (LMFT)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:NICHOLE
Last Name:GENTZEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:NICHOLE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:424 SUGAR BUSH LN S
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-2002
Mailing Address - Country:US
Mailing Address - Phone:317-225-8682
Mailing Address - Fax:
Practice Address - Street 1:424 SUGAR BUSH LN S
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-2002
Practice Address - Country:US
Practice Address - Phone:317-225-8682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35002067A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist