# WEST MICHIGAN COMMUNITY MENTAL HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376017889
- **Authorized official:** LISA AUDREY WILLIAMS (EXECTIVE DIRECTOR)
- **Authorized official phone:** (231) 845-6294

## Contact information

- **Practice address:** 920 DIANA ST, LUDINGTON, MI 49431-1987
- **Practice address phone:** (231) 845-6294
- **Practice address fax:** (231) 845-7095
- **Mailing address:** 920 DIANA ST, LUDINGTON, MI 49431-1987
- **Mailing address phone:** (231) 845-6294
- **Mailing address fax:** (231) 845-7095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2019
- **Last updated:** 01/17/2019