Healthcare Provider Details

I. General information

NPI: 1023364668
Provider Name (Legal Business Name): DANIELLE FAYE FALESNIK M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 1ST ST
NEENAH WI
54956-2704
US

IV. Provider business mailing address

335 1ST ST
NEENAH WI
54956-2704
US

V. Phone/Fax

Practice location:
  • Phone: 920-241-3995
  • Fax: 920-666-7684
Mailing address:
  • Phone: 920-241-3995
  • Fax: 920-666-7684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5239-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: