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ADOLESCENT WELLNESS ACADEMY LLC
NPI 1386471084
Clinic/Center - Adolescent and Children Mental Health in Davie, FL

Active since September 17, 2024
4900 S UNIVERSITY DR STE 204, DAVIE, FL 33328(561) 816-9023(954) 368-1345 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2025, Sep 17, 2024 (2 updates tracked since 2024).

About Adolescent Wellness Academy Llc NPPES

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

ADOLESCENT WELLNESS ACADEMY LLC (NPI 1386471084) is a healthcare organization registered as an adolescent and children mental health in Davie, Florida and active in the NPI registry since September 2024. The organization lists Dustin Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386471084
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameADOLESCENT WELLNESS ACADEMY LLC
Location Address4900 S UNIVERSITY DR STE 204Davie, FL 33328-3811
Mailing Address4900 S University Dr Ste 204Davie, FL 33328-3811 · (561) 816-9023 · Fax (954) 368-1345
Phone(561) 816-9023
Fax(954) 368-1345
Organization SubpartNo
Authorized OfficialDustin JohnsonCeo · (561) 816-9023
Enumeration DateSeptember 17, 2024
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1386471084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
4900 S UNIVERSITY DR STE 204, Davie, FL 33328
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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 1386471084. It was assigned to this organization in the NPPES registry on September 17, 2024.

Where is Adolescent Wellness Academy LLC located?

Adolescent Wellness Academy LLC is located at 4900 S University Dr Ste 204, Davie, FL 33328. 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.

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.