Adolescent Wellness Academy LLC
NPI 1235095704 · Adolescent and Children Mental Health Clinic/Center · Coconut Creek, FL
Adolescent Wellness Academy LLC is a Adolescent and Children Mental Health Clinic/Center organization in Coconut Creek, FL (NPI 1235095704).
Provider details
- NPI number
- 1235095704
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dustin Johnson, Ceo(561) 816-9023
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-12-29
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Frequently asked questions
- What is Adolescent Wellness Academy LLC's NPI number?
- Adolescent Wellness Academy LLC's National Provider Identifier (NPI) is 1235095704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Adolescent Wellness Academy LLC?
- Adolescent Wellness Academy LLC is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Adolescent Wellness Academy LLC located?
- Adolescent Wellness Academy LLC's practice location on file with NPPES is 4611 Johnson Rd Ste A06, Coconut Creek, FL 33073-4361.
- What is Adolescent Wellness Academy LLC's phone number?
- The practice phone number listed in the NPPES registry for Adolescent Wellness Academy LLC is (561) 816-9023.
- Who is the authorized official for Adolescent Wellness Academy LLC?
- The authorized official listed on Adolescent Wellness Academy LLC's NPPES record is Dustin Johnson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Adolescent Wellness Academy LLC's NPI active?
- Yes — Adolescent Wellness Academy LLC's NPI (1235095704) is active in the NPPES registry as of the last update on 2025-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.