Provider Demographics
NPI:1255217212
Name:FALK-HUZAR, ERICA ALEXANDRA (PSYD, SAC, CNHP)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:ALEXANDRA
Last Name:FALK-HUZAR
Suffix:
Gender:F
Credentials:PSYD, SAC, CNHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:NECEDAH
Mailing Address - State:WI
Mailing Address - Zip Code:54646-0010
Mailing Address - Country:US
Mailing Address - Phone:608-547-4444
Mailing Address - Fax:608-572-7997
Practice Address - Street 1:N9895 18TH AVE
Practice Address - Street 2:
Practice Address - City:NECEDAH
Practice Address - State:WI
Practice Address - Zip Code:54646-8056
Practice Address - Country:US
Practice Address - Phone:608-565-3700
Practice Address - Fax:608-572-7997
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17231-131101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)