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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HAVENRISE ACADEMY OF FLORIDA, LLC
NPI 1134014384
Clinic/Center - Adolescent and Children Mental Health in Jacksonville, FL

Active since June 10, 2025
10550 DEERWOOD PARK BLVD STE 301, JACKSONVILLE, FL 32256(904) 352-0682 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Jun 10, 2025 (2 updates tracked since 2025).

About Havenrise Academy Of Florida, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVENRISE ACADEMY OF FLORIDA, LLC (NPI 1134014384) is a healthcare organization registered as an adolescent and children mental health in Jacksonville, Florida and active in the NPI registry since June 2025. The organization lists Jamie Stevens, Ceo, as its authorized official.

NPPES Registry Identity

NPI1134014384
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameHAVENRISE ACADEMY OF FLORIDA, LLC
Location Address10550 DEERWOOD PARK BLVD STE 301Jacksonville, FL 32256-2805
Mailing Address10550 Deerwood Park Blvd Ste 301Jacksonville, FL 32256-2805 · (904) 352-0682
Phone(904) 352-0682
Organization SubpartYesParent: Havenrise Academy Holdings, Llc
Authorized OfficialJamie StevensCeo · (904) 993-1559
Enumeration DateJune 10, 2025
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1134014384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
10550 DEERWOOD PARK BLVD STE 301, Jacksonville, FL 32256
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAVENRISE ACADEMY HOLDINGS, LLC
Clinic/Center (Adolescent and Children Mental Health)
10550 DEERWOOD PARK BLVD STE 301
JACKSONVILLE, FL 32256
Duval County (904) 352-0682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Havenrise Academy Of Florida, LLC's NPI number?

The NPI number for Havenrise Academy Of Florida, LLC is 1134014384. It was assigned to this organization in the NPPES registry on June 10, 2025.

Where is Havenrise Academy Of Florida, LLC located?

Havenrise Academy Of Florida, LLC is located at 10550 Deerwood Park Blvd Ste 301, Jacksonville, FL 32256. The listed phone number is (904) 352-0682.

What is Havenrise Academy Of Florida, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Havenrise Academy Of Florida, LLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.