Provider Demographics
NPI:1063286839
Name:DUM SPIRO SPERO LLC
Entity type:Organization
Organization Name:DUM SPIRO SPERO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:REYES
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-393-3342
Mailing Address - Street 1:1907 DOVE WING CIR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4955
Mailing Address - Country:US
Mailing Address - Phone:210-393-3342
Mailing Address - Fax:210-229-8914
Practice Address - Street 1:743 ESSEX ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-2213
Practice Address - Country:US
Practice Address - Phone:210-999-5224
Practice Address - Fax:210-229-8914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty