Healthcare Provider Details

I. General information

NPI: 1255217212
Provider Name (Legal Business Name): ERICA ALEXANDRA FALK-HUZAR PSYD, SAC, CNHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N9895 18TH AVE
NECEDAH WI
54646-8056
US

IV. Provider business mailing address

PO BOX 10
NECEDAH WI
54646-0010
US

V. Phone/Fax

Practice location:
  • Phone: 608-565-3700
  • Fax: 608-572-7997
Mailing address:
  • Phone: 608-547-4444
  • Fax: 608-572-7997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17231-131
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: