Provider Demographics
NPI:1821703174
Name:BUEHLER WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:BUEHLER WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BUEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:618-727-4019
Mailing Address - Street 1:9835 OLD BAINBRIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959-5831
Mailing Address - Country:US
Mailing Address - Phone:618-440-1534
Mailing Address - Fax:618-590-0865
Practice Address - Street 1:9835 OLD BAINBRIDGE TRL
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959-5831
Practice Address - Country:US
Practice Address - Phone:618-440-1534
Practice Address - Fax:618-590-0865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)