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 Community/Behavioral Health Agency · NPI 1982425757

Change Academy at Lake of the Ozarks is a Community/Behavioral Health Agency in Benton, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

5842 Highway 30
Benton, TN 37307-4734
Phone: (480) 550-9281
Show map & directions

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1982425757
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 Behavioral Health - Th; Embark Behavioral Health - Th
NPI enumeratedOctober 23, 2024
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address5500 Ming Ave Ste 410, Bakersfield, CA 93309-4631