Organization · Type 2 NPI

Change Academy at Lake of the Ozarks

Community/Behavioral Health Agency · Benton, TN

NPI number 1982425757 Active

Practice location

5842 Highway 30
Benton, TN 37307-4734

Call (480) 550-9281 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…

11 other providers at this address

NPI record

NPI: 1982425757
Entity type: Organization (Type 2)
Issued: Oct 23, 2024
Last updated: May 21, 2025
Status: Active
Subpart: Yes of Change Academy at Lake of the Ozarks

Other names

<unavail>
Embark Behavioral Health - TH · other name
Embark Behavioral Health - TH · 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 1982425757

Change Academy at Lake of the Ozarks's National Provider Identifier is 1982425757, issued on Oct 23, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Benton, TN. The record was last updated on May 21, 2025.