Change Academy at Lake of the Ozarks
NPI #1063102226 in Independence, Missouri
Provider Information
- NPI Number
- 1063102226
- Entity Type
- Organization
- Organization Name
- Change Academy at Lake of the Ozarks
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHANGE ACADEMY AT LAKE OF THE OZARKS
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 11, 2023
- Last Updated
- May 15, 2025
Practice Location
- Address
- 3205 N TWYMAN RD
- City
- Independence
- State
- Missouri
- ZIP Code
- 64058-3212
- Phone
- (480) 550-9281
Authorized Official
- Name
- SHARNELL SPENCER
- Title
- CREDENTIALING MANAGER
- Phone
- (661) 239-6923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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