Organization
HAVENRISE ACADEMY OF JACKSONVILLE, LLC
Active
Parent organization
HAVENRISE ACADEMY HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVENRISE ACADEMY HOLDINGS, LLC
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
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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