Provider Demographics
NPI:1407614662
Name:KLEINHANS, BRETT MATTHEW (LPC-MHSP)
Entity Type:Individual
Prefix:MR
First Name:BRETT
Middle Name:MATTHEW
Last Name:KLEINHANS
Suffix:
Gender:M
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3032 SAGEGRASS DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37777-3572
Mailing Address - Country:US
Mailing Address - Phone:865-816-4309
Mailing Address - Fax:
Practice Address - Street 1:3032 SAGEGRASS DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:TN
Practice Address - Zip Code:37777-3572
Practice Address - Country:US
Practice Address - Phone:865-816-4309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000006418101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health