Crestone Wellness LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CRESTONE WELLNESS LLC

Practice address

301 Highland Dr
Taylor, TX 76574-1848

Phone

(737) 327-9083

Fax

(830) 460-5261

NPI assigned

Oct 11, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Edwards

Title

Cfo

Phone

(205) 244-8112

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alejandro D Kudisch, M.D.

  • Psychiatry Physician
  • McAllen, TX
  • NPI 1992776363
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1043972649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHLAND DR",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741848",
            "telephone_number": "737-327-9083",
            "fax_number": "830-460-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHLAND DR",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741848",
            "telephone_number": "737-327-9083",
            "fax_number": "830-460-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTONE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-244-8112"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Ralph Cohen, M.D.
• Deanna Cole, REGISTERED NURSE
• Celeste Conlee, APRN, FNP-C
• Shadday Cooper
• Coupland Isd
• Amanda Crimi, OTR/L
• CVS Pharmacy Inc
• Jorge Luis De Leon, FNP-C
• Patricia Barker Dearman, M.D.
• Danae Deberry

• Substance Abuse Rehabilitation Facility in Taylor, TX
• Providers in Taylor, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.