OrganizationActive
Havenrise Academy of Jacksonville, LLC
NPI 1134014384 · Adolescent and Children Mental Health Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1134014384
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Havenrise Academy Holdings, LLC
- Organization subpart
- Yes
- Authorized official
- Jamie Stevens, Ceo(904) 993-1559
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
10550 Deerwood Park Blvd Ste 301
Jacksonville, FL 32256-2805
Phone: (904) 352-0682
Approximate (ZIP-level) locationGet directions
Mailing address
10550 Deerwood Park Blvd Ste 301
Jacksonville, FL 32256-2805
Registry dates
- Enumerated
- 2025-06-10
- Last updated
- 2025-06-10
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.