MEDICARE: HAYLEY LAMBERTUS LAMFT

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	106H00000X	Marriage & Family Therapist	LMFT-15807	AZ

General Provider Information

NPI Number	:	1356942924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEY LAMBERTUS LAMFT

Provider Business Mailing Address
First Line	:	1206 E WARNER RD STE 115
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-3133
Country	:	US
Telephone Number	:	480-590-3915
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505 E CHANDLER BLVD STE 115
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7687
Country	:	US
Telephone Number	:	602-975-8959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2020
Last Update Date	:	12/18/2025

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