Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeside Life Recovery, LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1609171008

Lakeside Life Recovery, LLC is a Substance Abuse Rehabilitation Facility in Newark, Texas. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

341 County Road 4874
Newark, TX 76071-3715
Phone: (817) 831-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1609171008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Don Johnson — Executive Director · (972) 754-6257
NPI enumeratedJanuary 14, 2011
Last updated in NPPESJanuary 14, 2011
Mailing address2909 Race St, Fort Worth, TX 76111-4134