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NPI 1982425757

OrganizationActive

Change Academy at Lake of the Ozarks

NPI 1982425757 · Community/Behavioral Health Agency · Benton, TN

Provider details

NPI number: 1982425757
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Parent organization: Change Academy at Lake of the Ozarks
Authorized official: Sharnell Spencer, Credentialing Manager

Practice location

5842 Highway 30

Benton, TN 37307-4734

Phone: (480) 550-9281

More TN providers

Mailing address

5500 Ming Ave Ste 410

Bakersfield, CA 93309-4631

Registry dates

Enumerated: 2024-10-23
Last updated: 2025-05-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Change Academy at Lake of the Ozarks — NPI 1982425757, Benton, TN | NPI Central