Organization · NPI-2
Bespoke Wellness
Public Health or Welfare · Cedar Hill, TX
NPI number1740009596
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1740009596
- Entity type
- Organization (NPI-2)
- Legal business name
- Bespoke Wellness
- Organization subpart
- No
- Enumeration date
- Oct 8, 2024
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251K00000X | Public Health or Welfare | – | – | Yes |
| 101YP1600X | Counselor, Pastoral | – | – | |
| 104100000X | Social Worker | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 171W00000X | Contractor | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 174H00000X | Health Educator | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 405300000X | Prevention Professional | – | – |
Other names
- Bespoken Wellness (Doing Business As)
Practice location
1010 E Parkerville RdCedar Hill, TX 75104-7100
Phone 214-356-2020
Mailing address
1010 E Parkerville RdCedar Hill, TX 75104-7100
Phone 214-356-2020
Authorized official
Kerensa Veronica Berry-Nero
Director
2143562020
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.