Provider Demographics
NPI:1740459577
Name:ARBUCKLE, BRANDON MICHAEL (LMFT)
Entity type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:MICHAEL
Last Name:ARBUCKLE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 JACKSON SQUARE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-2767
Mailing Address - Country:US
Mailing Address - Phone:615-793-4201
Mailing Address - Fax:
Practice Address - Street 1:6001 JACKSON SQUARE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LA VERGNE
Practice Address - State:TN
Practice Address - Zip Code:37086-2767
Practice Address - Country:US
Practice Address - Phone:615-793-4201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLMT 0000000642106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist