Organization Active NPI

Principles Recovery Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Davie, FL
National Provider Identifier
1912872185
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PRINCIPLES RECOVERY CENTER LLC
Practice address
4900 S University Dr Ste 203
Davie, FL 33328-3811
Phone
(954) 738-8146
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dustin Johnson
Title
Ceo
Phone
(561) 816-9023

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

4900 S University Dr Ste 203
Davie, FL 33328-3811

Mailing address

4343 S State Road 7 Ste 101
Davie, FL 33314-4009

Other names 1

  • AWA: ADOLESCENT WELLNESS ACADEMY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2334323Principles Recovery Center LLC Dba4900 S University Dr Ste 203, Davie, FL 33328Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Awa Adolescent Wellness Academy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4343 S State Road 7
Ste 101
Davie, FL 33314
Phone (866) 457-1763

4900 S University Dr
Ste 203
Davie, FL 33328
Phone (954) 738-8146

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1912872185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 S STATE ROAD 7 STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S UNIVERSITY DR STE 203",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283811",
            "telephone_number": "954-738-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLES RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-816-9023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AWA: ADOLESCENT WELLNESS ACADEMY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.