ADOLESCENT WELLNESS ACADEMY LLC – Adolescent and Children Mental Health Clinic/Center, NPI 1235095704

ADOLESCENT WELLNESS ACADEMY LLC is a healthcare provider. based in Coconut creek, Florida. specializing in Adolescent and Children Mental Health Clinic/Center. The NPI Number for ADOLESCENT WELLNESS ACADEMY LLC is 1235095704

Main info

Organization
Name
ADOLESCENT WELLNESS ACADEMY LLC
NPI
1235095704
Phone
(561) 816-9023
Address
4611 JOHNSON RD STE A06
Authorized Official
DUSTIN JOHNSON CEO
Enumeration Date
29 December 2025
Last Update Date
29 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience20
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for ADOLESCENT WELLNESS ACADEMY LLC

  • 4611 JOHNSON RD STE A06

    COCONUT CREEK, FL 330734361

    Phone: (561) 816-9023

    Fax: (954) 368-1345

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33073)

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Reviews

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Frequently asked questions

What identifier follows ADOLESCENT WELLNESS ACADEMY LLC across health systems?
The NPI 1235095704 uniquely identifies ADOLESCENT WELLNESS ACADEMY LLC in U.S. healthcare data.
Quick check: is ADOLESCENT WELLNESS ACADEMY LLC active?
Public NPPES data shows ADOLESCENT WELLNESS ACADEMY LLC with an active NPI status right now.
What type of care does ADOLESCENT WELLNESS ACADEMY LLC provide?
ADOLESCENT WELLNESS ACADEMY LLC's profile centers on Adolescent and Children Mental Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What city is tied to ADOLESCENT WELLNESS ACADEMY LLC?
The directory associates ADOLESCENT WELLNESS ACADEMY LLC with Coconut Creek, Florida. Check all listed addresses for suites or satellite offices.
Who maintains ADOLESCENT WELLNESS ACADEMY LLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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