OrganizationActive
Texas Independence LLC
NPI 1972886570 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dallas, TX
Provider details
- NPI number
- 1972886570
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marketa Johnson, Owner/Administrator(414) 625-0037
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3653 Timberglen Rd Apt 735
Dallas, TX 75287-3574
Phone: (414) 625-0037
Street-level locationGet directions
Mailing address
18950 Lina St Apt 828
Dallas, TX 75287-2449
Registry dates
- Enumerated
- 2011-09-21
- Last updated
- 2011-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.