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 Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1093280943

Change Academy at Lake of the Ozarks is an Emotionally Disturbed Childrens' Residential Treatment Facility in Lake Ozark, Missouri. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

130 Calo Ln
Lake Ozark, MO 65049-9208
Phone: (573) 365-2221
Show map & directions

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

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1093280943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharnell Spencer — Credentialing Manager · (661) 239-6923
NPI enumeratedOctober 8, 2018
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address5500 Ming Ave Ste 410, Bakersfield, CA 93309-4631

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