Healthcare Provider Details

I. General information

NPI: 1457265936
Provider Name (Legal Business Name): TIP OF THE SPEAR MENTAL HEALTH SERVICES, LICENSED CLINICAL SOCIAL WORKER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24400 JACKSON AVE
MURRIETA CA
92562-1991
US

IV. Provider business mailing address

24400 JACKSON AVE
MURRIETA CA
92562-1991
US

V. Phone/Fax

Practice location:
  • Phone: 714-345-4021
  • Fax:
Mailing address:
  • Phone: 714-345-4021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MONICA PERSONS
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 619-227-9731