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

Havenrise Academy Holdings, LLC

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1427943828

Havenrise Academy Holdings, LLC is an Adolescent and Children Mental Health Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

10550 Deerwood Park Blvd Ste 301
Jacksonville, FL 32256-2805
Phone: (904) 352-0682
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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

Record details

NPI number1427943828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Stevens — Ceo · (904) 993-1559
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address10550 Deerwood Park Blvd Ste 301, Jacksonville, FL 32256-2805

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