Organization · Type 2 NPI

Change Academy at Lake of the Ozarks

Emotionally Disturbed Childrens' Residential Treatment Facility · Springville, UT

NPI number 1659900835 Active

Practice location

266 South Left Fork Hobble Creek Canyon Road
Springville, UT 84663

Call (866) 534-7057 Map

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

3 other providers at this address

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NPI record

NPI: 1659900835
Entity type: Organization (Type 2)
Issued: Apr 8, 2020
Last updated: May 21, 2025
Status: Active
Subpart: Yes of Change Academy at Lake of the Ozarks

Other names

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Potomac at Hobble Creek · doing business as
Potomac at Hobble Creek · doing business as

Authorized official

Sharnell Spencer
Credentialing Manager
(661) 239-6923

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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 1659900835

Change Academy at Lake of the Ozarks's National Provider Identifier is 1659900835, issued on Apr 8, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Springville, UT. The record was last updated on May 21, 2025.