Organization · NPI-2

Bespoke Wellness

Community Health Worker · Cedar Hill, TX

NPI number1457207342
StatusActive
Last updated in NPPESMar 24, 2026

Details

NPI
1457207342
Entity type
Organization (NPI-2)
Legal business name
Bespoke Wellness
Organization subpart
No
Enumeration date
Mar 5, 2026
Certification date
Mar 24, 2026
Last updated
Mar 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
251C00000X Day Training, Developmentally Disabled Services––
251E00000X Home Health––
175T00000X Peer Specialist––
174H00000X Health Educator––
106H00000X Marriage & Family Therapist––
101200000X Drama Therapist––
171M00000X Case Manager/Care Coordinator––
174200000X Meals––
225C00000X Rehabilitation Counselor––
101YP1600X Counselor, Pastoral––
163W00000X Registered Nurse––
251K00000X Public Health or Welfare––
177F00000X Lodging––
101YA0400X Counselor, Addiction (Substance Use Disorder)––

Practice location

1010 E Parkerville Rd
Cedar Hill, TX 75104-7100

Phone 214-937-1474

Mailing address

1010 E Parkerville Rd
Cedar Hill, TX 75104-7100

Phone 214-937-1474

Authorized official

Kerensa Taylor
Director
2143562020

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