Healthcare Provider Details

I. General information

NPI: 1508788357
Provider Name (Legal Business Name): SAM SECURING ACCESS TO MENTAL HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7351 HEIL AVE STE C
HUNTINGTON BEACH CA
92647-4534
US

IV. Provider business mailing address

16835 ALGONQUIN ST STE 450
HUNTINGTON BEACH CA
92649-3810
US

V. Phone/Fax

Practice location:
  • Phone: 949-415-6913
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LENA BALAKHANEH
Title or Position: EXECUTIVE DIRECTOR
Credential: ASW
Phone: 949-415-6913