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General NPI Number Information
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NPI Number | 1962375451
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Entity Type | Organization
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Legal Business Name | ONLY HUMAN MENTAL HEALTH LLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 221 W WEBSTER AVE STE 303
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City | MUSKEGON
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State | MI
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Zip | 49440-1294
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Country | US
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Telephone | 231-335-1630
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Fax | 231-259-4359
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Provider Business Mailing Address
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Address Line | 221 W WEBSTER AVE STE 303
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City | MUSKEGON
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State | MI
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Zip | 49440-1294
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Country | US
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Telephone | 231-335-1630
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Fax | 231-259-4359
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Authorized Official
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Title or Position | OWNER
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Name | JACK LOUIS KACZMARCZYK JR.
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Credential | FNP-BC, PMHNP-BC
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Telephone | 616-402-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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