CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1982425757
Community/Behavioral Health in Benton, TN

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

The NPI number for Change Academy At Lake Of The Ozarks is 1982425757. It was assigned to this organization in the NPPES registry on October 23, 2024. The provider is also known as Embark Behavioral Health - TH.

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

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since October 23, 2024

5842 HIGHWAY 30, BENTON, TN 37307(480) 550-9281 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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 1982425757) is a healthcare organization registered as a community/behavioral health in Benton, Tennessee and active in the NPI registry since October 2024. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1982425757

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS

Location Address5842 HIGHWAY 30Benton, TN 37307-4734

Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631

Phone(480) 550-9281

Organization SubpartYes

Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923

Enumeration DateOctober 23, 2024

Last NPPES UpdateMay 21, 2025

NPPES CertifiedMay 21, 2025

✔ NPI 1982425757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

5842 HIGHWAY 30, Benton, TN 37307

Open in Google Maps ↗

Other Names 1

Other NameEmbark Behavioral Health - Th

Other Providers at the Same Location NPPES 11

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

IAN DEVILLE

Social Worker (Clinical)