Healthcare Provider Details

I. General information

NPI: 1649122888
Provider Name (Legal Business Name): HAYLEY SIRINEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4330 GOLF TER STE 207
EAU CLAIRE WI
54701-4688
US

IV. Provider business mailing address

4330 GOLF TER STE 207
EAU CLAIRE WI
54701-4688
US

V. Phone/Fax

Practice location:
  • Phone: 715-514-0493
  • Fax: 877-855-2504
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8842-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: