Healthcare Provider Details
I. General information
NPI: 1821913575
Provider Name (Legal Business Name): WIT AND REASON WELLNESS A LICENSED CLINICAL SOCIAL WORKER PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4140 OCEANSIDE BLVD STE 159-118
OCEANSIDE CA
92056-6005
US
IV. Provider business mailing address
4140 OCEANSIDE BLVD STE 159-118
OCEANSIDE CA
92056-6005
US
V. Phone/Fax
- Phone: 562-715-3109
- Fax:
- Phone: 562-715-3109
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEX
HONIGMAN
Title or Position: PRESIDENT
Credential: LICSW
Phone: 562-715-3109