Healthcare Provider Details

I. General information

NPI: 1366328320
Provider Name (Legal Business Name): DEER PATH INTEGRATED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
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: 608-565-3700
  • Fax: 608-572-7997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. ERICA FALK-HUZAR
Title or Position: PRESIDENT
Credential: PSYD
Phone: 608-547-4444