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CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1013635085
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stafford, TX

Active since August 16, 2022
4800 SUGAR GROVE BLVD STE 275, STAFFORD, TX 77477(888) 491-4177 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, Jun 20, 2023, Apr 3, 2023 and 3 more (6 updates tracked since 2022).

About Change Academy At Lake Of The Ozarks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGE ACADEMY AT LAKE OF THE OZARKS (NPI 1013635085) is a healthcare organization registered as a mental health (including community mental health center) in Stafford, Texas and active in the NPI registry since August 2022. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1013635085
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS
Location Address4800 SUGAR GROVE BLVD STE 275Stafford, TX 77477-2150
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132
Phone(888) 491-4177
Organization SubpartYes
Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923
Enumeration DateAugust 16, 2022
Last NPPES UpdateMay 14, 20256 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1013635085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4800 SUGAR GROVE BLVD STE 275, Stafford, TX 77477
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Other Names 1

Other NameEmbark Virtual At Texas

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TY PATTERSON LPC-ASSOCIATE
Counselor (Mental Health)
4800 SUGAR GROVE BLVD STE 275
STAFFORD, TX 77477
Fort Bend County (979) 985-2835
SOLACIUM FULSHEAR, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4800 SUGAR GROVE BLVD STE 275
STAFFORD, TX 77477
Fort Bend County (855) 264-2177
INJILA IMAM
Counselor (Mental Health)
4800 SUGAR GROVE BLVD STE 275
STAFFORD, TX 77477
Fort Bend County (281) 624-8871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Change Academy At Lake Of The Ozarks's NPI number?

The NPI number for Change Academy At Lake Of The Ozarks is 1013635085. It was assigned to this organization in the NPPES registry on August 16, 2022. The provider is also known as Embark Virtual at Texas.

Where is Change Academy At Lake Of The Ozarks located?

Change Academy At Lake Of The Ozarks is located at 4800 Sugar Grove Blvd Ste 275, Stafford, TX 77477. The listed phone number is (888) 491-4177.

What is Change Academy At Lake Of The Ozarks's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Change Academy At Lake Of The Ozarks was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.