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Organization
HAVENRISE ACADEMY HOLDINGS, LLC
Active
Organization
HAVENRISE ACADEMY HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE STEVENS (CEO)
(904) 993-1559
Entity
Organization
Contact information
Practice address
10550 DEERWOOD PARK BLVD STE 301, JACKSONVILLE, FL 32256-2805
(904) 352-0682
Mailing address
10550 DEERWOOD PARK BLVD STE 301, JACKSONVILLE, FL 32256-2805
(904) 352-0682
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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