Provider Demographics
NPI:1588803936
Name:BUILA, SARAH M D (MSW, LCSW, PHD)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:M D
Last Name:BUILA
Suffix:
Gender:F
Credentials:MSW, LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 WATER VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:COBDEN
Mailing Address - State:IL
Mailing Address - Zip Code:62920-3232
Mailing Address - Country:US
Mailing Address - Phone:618-893-4558
Mailing Address - Fax:
Practice Address - Street 1:604 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-3309
Practice Address - Country:US
Practice Address - Phone:618-457-6703
Practice Address - Fax:618-549-3734
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0064471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical