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 1316130784

Change Academy at Lake of the Ozarks is an Emotionally Disturbed Childrens' Residential Treatment Facility in Lake Ozark, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2

Practice location Address checks out

130 Calo Ln
Lake Ozark, MO 65049
Phone: (573) 365-2221
Fax: (573) 365-2224
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
Psychiatric Residential Treatment Facility Taxonomy 323P00000X · Licence 105270 (MO)

Record details

NPI number1316130784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharnell Spencer — Credentialing Manager · (661) 239-6923
NPI enumeratedAugust 20, 2007
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address5500 Ming Ave Ste 410, Bakersfield, CA 93309-4631

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