Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adolescent Wellness Academy LLC

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1235095704

Adolescent Wellness Academy LLC is an Adolescent and Children Mental Health Clinic/Center in Coconut Creek, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4611 Johnson Rd Ste A06
Coconut Creek, FL 33073-4361
Phone: (561) 816-9023
Fax: (954) 368-1345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1235095704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dustin Johnson — Ceo · (561) 816-9023
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address4611 Johnson Rd Ste A06, Coconut Creek, FL 33073-4361

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