Healthcare Provider Details

I. General information

NPI: 1235669169
Provider Name (Legal Business Name): SAM UNDERSTANDS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 01/21/2025
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7075 W BELL RD STE A-1
GLENDALE AZ
85308-8546
US

IV. Provider business mailing address

7075 W BELL RD STE A-1
GLENDALE AZ
85308-8546
US

V. Phone/Fax

Practice location:
  • Phone: 623-523-9107
  • Fax:
Mailing address:
  • Phone: 602-488-6104
  • Fax: 623-248-1775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL SETH LAMPLE
Title or Position: CEO
Credential: MA, LPC
Phone: 623-523-9107