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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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3101YP2500XProfessional Counselor
4101YS0200XSchool Counselor
5103K00000XBehavior Analyst
6103T00000XPsychologist
7104100000XSocial Worker
81041C0700XClinical Social Worker
91041S0200XSchool Social Worker
10106E00000XAssistant Behavior Analyst
11163WC0400XCase Management Registered Nurse
12172A00000XDriver
13172V00000XCommunity Health Worker
14251S00000XCommunity/Behavioral Health Agency
15101Y00000XCounselor

General Provider Information

NPI Number : 1891649794
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 : 214-356-2020
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : BRYSON NERO
Credential :
Telephone Number : 214-937-1474
Provider Enumeration Date : 02/26/2026
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:
1255287140 — BESPOKE WELLNESS
Practice Location Address:
1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100
Practice Phone: 214-356-2020
Practice Fax:
1457207342 — BESPOKE WELLNESS
Practice Location Address:
1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100
Practice Phone: 214-937-1474
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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