Organization
BESPOKE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERENSA TAYLOR (PROGRAM 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
172V00000X
Community Health Worker
Primary
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
305R00000X
Preferred Provider Organization
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
03/05/2026
Last updated
03/24/2026
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