Provider Demographics
NPI:1861541104
Name:BRUHN, RICK A (EDD LPC LMFT)
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:A
Last Name:BRUHN
Suffix:
Gender:M
Credentials:EDD LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6849
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77342-6849
Mailing Address - Country:US
Mailing Address - Phone:936-291-7928
Mailing Address - Fax:936-294-0164
Practice Address - Street 1:1325 WINDSOR STREET
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340
Practice Address - Country:US
Practice Address - Phone:936-291-7928
Practice Address - Fax:936-291-7928
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5061101Y00000X
TX401106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6557LCOtherBCBS TX