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Organization
BESPOKE WELLNESS
Active
Organization
BESPOKE WELLNESS
Active
Other names
BeSpoken Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KERENSA VERONICA BERRY-NERO MSW LCPA (DIRECTOR)
(214) 356-2020
Entity
Organization
Contact information
Practice address
1010 E PARKERVILLE RD, CEDAR HILL, TX 75104-7100
(214) 356-2020
Mailing address
1010 E PARKERVILLE RD, CEDAR HILL, TX 75104-7100
(214) 356-2020
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
NULL
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
405300000X
Prevention Professional
—
NULL
405300000X
Prevention Professional
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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