<Unavail>

LBN: Change Academy At Lake Of The Ozarks
<Unavail> is an health care organization with primary practice located at 5000 Birch St Ste 1400 , Newport Beach CA 92660-2150. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty. Change Academy At Lake Of The Ozarks can be contacted via phone (949) 688-6282, or through Spencer, Sharnell via phone (661) 239-6923.

Contact Information

Primary practice address
5000 Birch St Ste 1400 Newport Beach CA 92660-2150
Phone: (949) 688-6282
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Sharnell
Phone: (661) 239-6923

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1811601784
LBN Legal business name Change Academy At Lake Of The Ozarks
DBA Doing business as <Unavail>
Authorized official Spencer, Sharnell
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 5th, 2023
Last updated May 21st, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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