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NPI Code Detail

MEDICARE: BESPOKE WELLNESS

MEDICARE: BESPOKE WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101200000XDrama Therapist
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YP1600XPastoral Counselor
4106H00000XMarriage & Family Therapist
5163W00000XRegistered Nurse
6171M00000XCase Manager/Care Coordinator
7174200000XMeals Provider
8174H00000XHealth Educator
9177F00000XLodging Provider
10225C00000XRehabilitation Counselor
11251C00000XDevelopmentally Disabled Services Day Training Agency
12251E00000XHome Health Agency
13251K00000XPublic Health or Welfare Agency
14175T00000XPeer Specialist
15172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1457207342
Entity Type Code : Organization
Provider Name (Legal Business Name) : BESPOKE WELLNESS
Provider Business Mailing Address
First Line : 1010 E PARKERVILLE RD
Second Line :
City : CEDAR HILL
State : TX
Zip : 75104-7100
Country : US
Telephone Number : 214-937-1474
Fax Number :
Provider Business Practice Location Address
First Line : 1010 E PARKERVILLE RD
Second Line :
City : CEDAR HILL
State : TX
Zip : 75104-7100
Country : US
Telephone Number : 214-937-1474
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : KERENSA TAYLOR
Credential :
Telephone Number : 214-356-2020
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

Similar Medicare Providers

1629925334 — BESPOKE WELLNESS
Practice Location Address:
1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100
Practice Phone: 214-937-1474
Practice Fax:
1891649794 — BESPOKE WELLNESS
Practice Location Address:
1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100
Practice Phone: 214-356-2020
Practice Fax:
1255287140 — BESPOKE WELLNESS
Practice Location Address:
1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100
Practice Phone: 214-356-2020
Practice Fax:
1629807441 — BESPOKEN WELLNESS PLLC
Practice Location Address:
1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100
Practice Phone: 469-806-0857
Practice Fax:
1740009596 — BESPOKE WELLNESS
Practice Location Address:
1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100
Practice Phone: 214-356-2020
Practice Fax:
1689855256 — MRS. JENNIFER RENEE AIMONE MS, OTR/L
Practice Location Address:
7100 PROCTOR HILL DR
RALEIGH, NC
27613-5206
Practice Phone: 919-395-1748
Practice Fax:

Directions to “BESPOKE WELLNESS ” Practice Location

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