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General NPI Number Information
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NPI Number | 1356255830
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Entity Type | Organization
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Legal Business Name | TIP OF THE SPEAR MENTAL HEALTH SERVICES, LICENSED CLINICAL SOCIAL WORKER, INC.
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 28812 TRIPLE C RANCH RD
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City | MURRIETA
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State | CA
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Zip | 92563-8442
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Country | US
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Telephone | 714-345-4021
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Fax |
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Provider Business Mailing Address
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Address Line | 28812 TRIPLE C RANCH RD
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City | MURRIETA
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State | CA
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Zip | 92563-8442
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BILLING
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Name | MONICA PERSONS
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Credential |
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Telephone | 619-227-9731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State | NULL
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