Active NPI
Principles Recovery Center LLC
- Adolescent and Children Mental Health Clinic/Center
- Davie, FL
National Provider Identifier
1912872185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2334323 | Principles Recovery Center LLC Dba | Certificate of waiver | Nov 18, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Awa Adolescent Wellness Academy
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Miami, FL
- NPI 1225884091
-
- Adolescent and Children Mental Health Clinic/Center
- Coconut Creek, FL
- NPI 1558289827
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Davie, FL
- NPI 1639566409
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
- Evelyn Prieto
- Primary Care Physicians of Hollywood, PL
- Primary Medical Physicians, LLC
- Primary Medical Physicians, LLC
- Principles Recovery Center LLC
- Patricia Alejandra Prinz
- Priority Healthcare Services LLC
- Prism Chiropractic and Wellness Center, L.L.C.
- Pro Med Management Group LLC
- Procare Orthopedics, Inc
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.