Healthcare Provider Details

I. General information

NPI: 1356942924
Provider Name (Legal Business Name): HAYLEY LAMBERTUS LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4505 E CHANDLER BLVD STE 115
PHOENIX AZ
85048-7687
US

IV. Provider business mailing address

1206 E WARNER RD STE 115
GILBERT AZ
85296-3133
US

V. Phone/Fax

Practice location:
  • Phone: 602-975-8959
  • Fax:
Mailing address:
  • Phone: 480-590-3915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT-15807
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: