Organization · Type 2 NPI

Change Academy at Lake of the Ozarks

Mental Health Clinic/Center (Including Community Mental Health Center) · Ashburn, VA

NPI number 1760199244 Active

Practice location

20116 Ashbrook Pl Ste 110
Ashburn, VA 20147-5086

Call (480) 660-8757 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...

2 other providers at this address

Change Academy at Lake of the OzarksMental Health Clinic/Center (Including Community Mental Health Center) Ashburn, VA NPI 1568188340
Tiffany S. CaraballoProfessional Counselor Ashburn, VA NPI 1992415665

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

See all in Ashburn →

NPI record

NPI: 1760199244
Entity type: Organization (Type 2)
Issued: Nov 3, 2022
Last updated: Jun 3, 2026
Status: Active
Subpart: Yes of Change Academy at Lake of the Ozarks

Other names

<unavail>
Embark Virtual at Virginia · other name
Embark Behavioral Health · other name
Embark Behavioral Health · 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 1760199244

Change Academy at Lake of the Ozarks's National Provider Identifier is 1760199244, issued on Nov 3, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Ashburn, VA. The record was last updated on Jun 3, 2026.