MEDICARE: SAM UNDERSTANDS COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1235669169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAM UNDERSTANDS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	7075 W BELL RD STE A-1
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-8546
Country	:	US
Telephone Number	:	602-488-6104
Fax Number	:	623-248-1775

Provider Business Practice Location Address
First Line	:	7075 W BELL RD STE A-1
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-8546
Country	:	US
Telephone Number	:	623-523-9107
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SAMUEL SETH LAMPLE
Credential	:	MA, LPC
Telephone Number	:	623-523-9107

Provider Enumeration Date	:	06/13/2017
Last Update Date	:	01/21/2025

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