Organization Active NPI

Mental Wealth Resources, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Augusta, GA
National Provider Identifier
1396454138
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MENTAL WEALTH RESOURCES, LLC
Practice address
2184 River Park CT
Augusta, GA 30907-2040
Phone
(470) 400-7014
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Franklin Ezeh, MDNPI 1568025005
Title
Psychiatrist
Phone
(470) 400-7014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2184 River Park CT
Augusta, GA 30907-2040

Mailing address

42 Carriage Oaks Dr # 1032
Tyrone, GA 30290-1684
Phone (470) 400-7014

Other practice location 1

2184 River Park Ct
Martinez, GA 30907
Phone (470) 400-7014

National Provider Directory

National Provider Directory

Locations

42 Carriage Oaks Dr
#1032
Tyrone, GA 30290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1396454138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CARRIAGE OAKS DR # 1032",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901684",
            "telephone_number": "470-400-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 RIVER PARK CT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072040",
            "telephone_number": "470-400-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2184 River Park Ct",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "30907",
            "country_code": "US",
            "telephone_number": "470-400-7014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL WEALTH RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "EZEH",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "470-400-7014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.