Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bespoke Therapy & Co LLC

Organization Mental Health Counselor · NPI 1245111574

Bespoke Therapy & Co LLC is a Mental Health Counselor in Wichita, Kansas. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 N Woodlawn St Ste 120
Wichita, KS 67208-3678
Phone: (316) 631-2454
Fax: (316) 669-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1245111574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evangeline Payne — Owner · (316) 631-2454
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address168 S Wellcrest Ct, Goddard, KS 67052-9591

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