Provider Demographics
NPI:1710106885
Name:SPIRIS GROUP LLC
Entity Type:Organization
Organization Name:SPIRIS GROUP LLC
Other - Org Name:SIMONSEN SHEPARD BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHEPARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-443-7808
Mailing Address - Street 1:3811 TURTLE CREEK BLVD
Mailing Address - Street 2:SUITE 1925
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219
Mailing Address - Country:US
Mailing Address - Phone:214-443-7808
Mailing Address - Fax:214-443-7807
Practice Address - Street 1:3811 TURTLE CREEK BLVD
Practice Address - Street 2:SUITE 1925
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219
Practice Address - Country:US
Practice Address - Phone:214-443-7808
Practice Address - Fax:214-443-7807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0022KZOtherBCBS OF TEXAS GROUP