Organization · Type 2 NPI

Adolescent Wellness Academy LLC

Adolescent and Children Mental Health Clinic/Center · Coconut Creek, FL

NPI number 1235095704 Active

Practice location

4611 Johnson Rd Ste A06
Coconut Creek, FL 33073-4361

Fax (954) 368-1345

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed

Adolescent and Children Mental Health Clinic/Center: 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.

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About NPI 1235095704

Adolescent Wellness Academy LLC's National Provider Identifier is 1235095704, issued on Dec 29, 2025. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Coconut Creek, FL. The record was last updated on Dec 29, 2025.