Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Change Academy at Lake of the Ozarks

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1790503324

Change Academy at Lake of the Ozarks is a Mental Health Clinic/Center (Including Community Mental Health Center) in Southfield, Michigan. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

29777 Telegraph Rd Ste 400
Southfield, MI 48034-1303
Phone: (480) 550-9281
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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 number1790503324
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 Michigan; Embark Virtual At Michigan
NPI enumeratedOctober 2, 2024
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address5500 Ming Ave Ste 410, Bakersfield, CA 93309-4631

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