Organization · NPI-2

Bespoke Wellness

Case Management · Cedar Hill, TX

NPI number1629925334

StatusActive

Last updated in NPPESMar 24, 2026

Details

NPI: 1629925334
Entity type: Organization (NPI-2)
Legal business name: Bespoke Wellness
Organization subpart: No
Enumeration date: Mar 12, 2026
Certification date: Mar 24, 2026
Last updated: Mar 24, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251B00000X	Case Management	–	–	Yes
251C00000X	Day Training, Developmentally Disabled Services	–	–
251S00000X	Community/Behavioral Health	–	–
363L00000X	Nurse Practitioner	–	–
171M00000X	Case Manager/Care Coordinator	–	–
106S00000X	Behavior Technician	–	–
171W00000X	Contractor	–	–
251E00000X	Home Health	–	–
251V00000X	Voluntary or Charitable	–	–
225C00000X	Rehabilitation Counselor	–	–
390200000X	Student in an Organized Health Care Education/Training Program	–	–
174H00000X	Health Educator	–	–
104100000X	Social Worker	–	–
172V00000X	Community Health Worker	–	–
101YP1600X	Counselor, Pastoral	–	–

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

Bryson Nero
Director
2149371474

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