Healthcare Provider Details

I. General information

NPI: 1861333791
Provider Name (Legal Business Name): BRITTANY BRUENING LPC-IT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 BISHOPS LN STE 290
BROOKFIELD WI
53005-6254
US

IV. Provider business mailing address

6880 S SOUTHFIELD BLVD APT 203
OAK CREEK WI
53154-1479
US

V. Phone/Fax

Practice location:
  • Phone: 262-782-2820
  • Fax:
Mailing address:
  • Phone: 414-915-1496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8440226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: