| Change Academy At Lake Of The Ozarks | |
|
5340 S Quebec St Ste 205n Greenwood Village CO 80111-1910 | |
| (303) 860-5122 | |
| Not Available |
| Full Name | Change Academy At Lake Of The Ozarks |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5340 S Quebec St Ste 205n, Greenwood Village, Colorado |
| Authorized Official Name and Position | Sharnell Spencer (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6612396923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Academy At Lake Of The Ozarks 5500 Ming Ave Ste 410 Bakersfield CA 93309-4631 Ph: (661) 622-4132 | Change Academy At Lake Of The Ozarks 5340 S Quebec St Ste 205n Greenwood Village CO 80111-1910 Ph: (303) 860-5122 |
| NPI Number | 1942916168 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942916168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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