Provider Demographics
NPI:1205143633
Name:BREGIER-SIRKO, NANCY (LPC, CSAT)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:BREGIER-SIRKO
Suffix:
Gender:F
Credentials:LPC, CSAT
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:GRACA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 SOUTH BLVD W STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5184
Mailing Address - Country:US
Mailing Address - Phone:248-844-6234
Mailing Address - Fax:
Practice Address - Street 1:2265 LIVERNOIS RD STE 260
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083
Practice Address - Country:US
Practice Address - Phone:248-464-3099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health