OrganizationActive
Elements at Lakewood, LLC
NPI 1073238572 · Substance Abuse Rehabilitation Facility · Dallas, TX
Provider details
- NPI number
- 1073238572
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Brian Bauer, Member(605) 351-1886
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6205 La Vista Drive
Dallas, TX 75214-4312
Phone: (646) 509-7035
Street-level locationGet directions
Mailing address
1700 Cedar Springs Road
Dallas, TX 75202
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2022-10-06
- Certified
- 2022-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.