Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Change Academy at Lake of the Ozarks

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1013635085

Change Academy at Lake of the Ozarks is a Mental Health Clinic/Center (Including Community Mental Health Center) in Stafford, Texas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4800 Sugar Grove Blvd Ste 275
Stafford, TX 77477-2150
Phone: (888) 491-4177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1013635085
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChange Academy at Lake of the Ozarks
Authorized official Sharnell Spencer — Credentialing Manager · (661) 239-6923
Other names Embark Virtual At Texas; Embark Virtual At Texas
NPI enumeratedAugust 16, 2022
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address5500 Ming Ave Ste 410, Bakersfield, CA 93309-4631

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