Provider Demographics
NPI:1962375451
Name:ONLY HUMAN MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:ONLY HUMAN MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:KACZMARCZYK
Authorized Official - Suffix:JR
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:616-402-7777
Mailing Address - Street 1:221 W WEBSTER AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49440-1294
Mailing Address - Country:US
Mailing Address - Phone:231-335-1630
Mailing Address - Fax:231-259-4359
Practice Address - Street 1:221 W WEBSTER AVE STE 303
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49440-1294
Practice Address - Country:US
Practice Address - Phone:231-335-1630
Practice Address - Fax:231-259-4359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)