| Doctor Name: | MRS. HEATHER MARIE GREKO |
| NPI Number: | 1255756953 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C, C.A.A.D.C. |
| License Number: | 6401011617 |
| Business Practice Address: | 7133 Sovereign Dr Ne Comstock Park, MI - 493218373 |
| Business Phone Number: | 6167420351 |
| Business Fax Number: | 6167420370 |
| Mailing Address: | 7133 Sovereign Dr Ne, COMSTOCK PARK |
| State: | MI |
| Postal Code: | 493218373 |
| Phone Number: | 6167420351 |
| Fax Number: | 6167420370 |
| NPI Enumeration Date: | 03/04/2014 |
| NPI Last Update Date: | 03/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401011617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |