Provider Demographics
NPI:1568727980
Name:BRUGH, JULIE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:BRUGH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:BRUGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC 12706
Mailing Address - Street 1:5707 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-4350
Mailing Address - Country:US
Mailing Address - Phone:813-239-8069
Mailing Address - Fax:813-231-7324
Practice Address - Street 1:5707 N 22ND ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-4350
Practice Address - Country:US
Practice Address - Phone:813-239-8069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMHC 12706101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health