Organization · NPI-2

Bespoke Wellness

Counselor · Cedar Hill, TX

NPI number1891649794

StatusActive

Last updated in NPPESMar 24, 2026

Details

NPI: 1891649794
Entity type: Organization (NPI-2)
Legal business name: Bespoke Wellness
Organization subpart: No
Enumeration date: Feb 26, 2026
Certification date: Mar 24, 2026
Last updated: Mar 24, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101Y00000X	Counselor	–	–	Yes
101YS0200X	Counselor, School	–	–
251S00000X	Community/Behavioral Health	–	–
1041C0700X	Social Worker, Clinical	–	–
163WC0400X	Registered Nurse, Case Management	–	–
103K00000X	Behavior Analyst	–	–
104100000X	Social Worker	–	–
101YM0800X	Counselor, Mental Health	–	–
103T00000X	Psychologist	–	–
1041S0200X	Social Worker, School	–	–
172V00000X	Community Health Worker	–	–
172A00000X	Driver	–	–
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
106E00000X	Assistant Behavior Analyst	–	–
101YP2500X	Counselor, Professional	–	–

Practice location

1010 E Parkerville Rd
Cedar Hill, TX 75104-7100

Phone 214-356-2020

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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