MEDICARE: RESOURCES FOR MENTAL WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	261Q00000X	Clinic/Center
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144991134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOURCES FOR MENTAL WELLNESS LLC

Provider Business Mailing Address
First Line	:	PO BOX 16253
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32245-6253
Country	:	US
Telephone Number	:	904-776-3188
Fax Number	:	904-867-3938

Provider Business Practice Location Address
First Line	:	4401 EMERSON ST STE 5
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-4954
Country	:	US
Telephone Number	:	904-776-3188
Fax Number	:	904-867-3938

Authorized Official
Title or Position	:	VP/ QUALITY ASSURANCE
Name	:	DEANA ROBERTS
Credential	:	MPH, CBIS
Telephone Number	:	904-776-6555

Provider Enumeration Date	:	09/21/2021
Last Update Date	:	04/22/2026

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Directions to “RESOURCES FOR MENTAL WELLNESS LLC ” Practice Location

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