Provider Demographics
NPI:1144010083
Name:ANWEILER, TONG MEI
Entity type:Individual
Prefix:
First Name:TONG
Middle Name:MEI
Last Name:ANWEILER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:899 BAUMS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KOUTS
Mailing Address - State:IN
Mailing Address - Zip Code:46347-9531
Mailing Address - Country:US
Mailing Address - Phone:219-252-0174
Mailing Address - Fax:
Practice Address - Street 1:7920 GLENWOOD ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1321
Practice Address - Country:US
Practice Address - Phone:708-843-1477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INRBT-21-167742103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst