ADOLESCENT WELLNESS ACADEMY LLC
NPI 1235095704
Clinic/Center - Adolescent and Children Mental Health in Coconut Creek, FL
About Adolescent Wellness Academy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADOLESCENT WELLNESS ACADEMY LLC (NPI 1235095704) is a healthcare organization registered as an adolescent and children mental health in Coconut Creek, Florida and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Dustin Johnson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2341995
Adolescent Wellness Academy LLC · Coconut Creek, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COCONUT CREEK, FL 33073
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 Adolescent Wellness Academy LLC's NPI number?
The NPI number for Adolescent Wellness Academy LLC is 1235095704. It was assigned to this organization in the NPPES registry on December 29, 2025.
Where is Adolescent Wellness Academy LLC located?
Adolescent Wellness Academy LLC is located at 4611 Johnson Rd Ste A06, Coconut Creek, FL 33073. The listed phone number is (561) 816-9023.
What is Adolescent Wellness Academy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Does Adolescent Wellness Academy LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2341995) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Adolescent Wellness Academy LLC was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
