# HAVENRISE ACADEMY OF FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HAVENRISE ACADEMY HOLDINGS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134014384
- **Legal business name:** HAVENRISE ACADEMY HOLDINGS, LLC
- **Authorized official:** MRS. JAMIE STEVENS (CEO)
- **Authorized official phone:** (904) 993-1559

## Contact information

- **Practice address:** 10550 DEERWOOD PARK BLVD STE 301, JACKSONVILLE, FL 32256-2805
- **Practice address phone:** (904) 352-0682
- **Mailing address:** 10550 DEERWOOD PARK BLVD STE 301, JACKSONVILLE, FL 32256-2805
- **Mailing address phone:** (904) 352-0682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2025
- **Last updated:** 09/24/2026