Provider Demographics
NPI:1275110637
Name:DENISE FALASCHI LPC INC
Entity type:Organization
Organization Name:DENISE FALASCHI LPC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURI
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBHARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:414-807-8934
Mailing Address - Street 1:6214 WASHINGTON AVE STE 15C
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-3986
Mailing Address - Country:US
Mailing Address - Phone:262-583-0055
Mailing Address - Fax:262-583-0053
Practice Address - Street 1:6214 WASHINGTON AVE STE 15C
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-3986
Practice Address - Country:US
Practice Address - Phone:262-583-0055
Practice Address - Fax:262-583-0053
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIND BODY PROGRAM LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-24
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100187561Medicaid
WI100049333Medicaid