# BESPOKE WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BeSpoken Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740009596
- **Authorized official:** KERENSA VERONICA BERRY-NERO MSW LCPA (DIRECTOR)
- **Authorized official phone:** (214) 356-2020

## Contact information

- **Practice address:** 1010 E PARKERVILLE RD, CEDAR HILL, TX 75104-7100
- **Practice address phone:** (214) 356-2020
- **Mailing address:** 1010 E PARKERVILLE RD, CEDAR HILL, TX 75104-7100
- **Mailing address phone:** (214) 356-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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