CHANGE ACADEMY AT LAKE OF THE OZARKS; NPI #1659900835

Contact Information

CHANGE ACADEMY AT LAKE OF THE OZARKS

266 SOUTH LEFT FORK HOBBLE CREEK CANYON ROAD
SPRINGVILLE, UT 84663

Phone: 866-534-7057
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Residential Treatment Facility, Emotionally Disturbed Children	322D00000X

Indicates primary specialty

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NPI Profile & details for CHANGE ACADEMY AT LAKE OF THE OZARKS

NPI Number	`1659900835`
LBN Legal business name	CHANGE ACADEMY AT LAKE OF THE OZARKS
Authorized official	SHARNELL SPENCER - (CREDENTIALING MANAGER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	04/08/2020
Last updated	05/21/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CHANGE ACADEMY AT LAKE OF THE OZARKS

Contact Information

Specialty

Residential Treatment Facility, Emotionally Disturbed Children

NPI Profile & details for CHANGE ACADEMY AT LAKE OF THE OZARKS

Reviews for CHANGE ACADEMY AT LAKE OF THE OZARKS