Provider Demographics
NPI:1780825075
Name:BRUHIN, MATTHEW JACOB (PHD, LMFT, RAS)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:JACOB
Last Name:BRUHIN
Suffix:
Gender:M
Credentials:PHD, LMFT, RAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 CAROTHERS PKWY STE 250
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6001
Mailing Address - Country:US
Mailing Address - Phone:619-213-6470
Mailing Address - Fax:619-243-7211
Practice Address - Street 1:4601 CAROTHERS PKWY STE 250
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6001
Practice Address - Country:US
Practice Address - Phone:619-213-6470
Practice Address - Fax:619-243-7211
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB080717516101YA0400X
MNC-4557101YA0400X
TN1876106H00000X
CAMFC 47460106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)