Organization · Type 2 NPI

Change Academy at Lake of the Ozarks

Community/Behavioral Health Agency · Los Angeles, CA

NPI number 1710690706 Active

Practice location

11620 Wilshire Blvd Ste 1150
Los Angeles, CA 90025-1283

Call (213) 946-5247 Map

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

3 other providers at this address

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NPI record

NPI: 1710690706
Entity type: Organization (Type 2)
Issued: Jan 4, 2023
Last updated: May 21, 2025
Status: Active
Subpart: Yes of Change Academy at Lake of the Ozarks

Other names

<unavail>
Embark Behavioral Health · doing business as
Embark Behavioral Health · 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 1710690706

Change Academy at Lake of the Ozarks's National Provider Identifier is 1710690706, issued on Jan 4, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 21, 2025.