Organization · Type 2 NPI

Change Academy at Lake of the Ozarks

Mental Health Clinic/Center (Including Community Mental Health Center) · Meridian, ID

NPI number 1346068970 Active

Practice location

943 W Overland Rd Fl 1
Meridian, ID 83642-7618

Call (480) 550-9281 Map

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Taylor IversonPediatric Occupational Therapist Meridian, ID NPI 1699629022

Other mental health clinic/center (including community mental health center) providers in Meridian

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NPI record

NPI: 1346068970
Entity type: Organization (Type 2)
Issued: Oct 2, 2024
Last updated: May 21, 2025
Status: Active
Subpart: Yes of Change Academy at Lake of the Ozarks

Other names

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Embark Virtual at Idaho · other name
Embark Virtual at Idaho · other name

Authorized official

Sharnell Spencer
Credentialing Manager
(661) 239-6923

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346068970

Change Academy at Lake of the Ozarks's National Provider Identifier is 1346068970, issued on Oct 2, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Meridian, ID. The record was last updated on May 21, 2025.