CHANGE ACADEMY AT LAKE OF THE OZARKS NPI 1861110843

NPI Information

NPI: 1861110843
Provider Name: CHANGE ACADEMY AT LAKE OF THE OZARKS

Other Name: EMBARK AT BUCKHEAD

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3072 EARLY ST NW FL 2
SUITE #200
ATLANTA, GA
ZIP 30305
Phone: (404) 865-3929
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CHANGE ACADEMY AT LAKE OF THE OZARKS is a mental health (including community mental health center) clinic center in Atlanta, GA. CHANGE ACADEMY AT LAKE OF THE OZARKS NPI is 1861110843. The provider is registered as an organization entity type.
The provider Other Name Is Embark At Buckhead.

The provider's business location address is:

3072 EARLY ST NW FL 2
SUITE #200
ATLANTA, GA
ZIP 30305-984
Phone: (404) 865-3929

The provider's authorized official is Laura J Brown .
The authorized official title is Vp Of Revenue Cycle Management and has the following contact phone number (661) 829-4060.

The enumeration date for this NPI number is 8/16/2022 and was last updated on 6/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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