Lacey Saucer, LAC
Counselor in Phoenix, AZ. Individual provider (NPI-1).
NPI number1699411751
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1699411751
- Entity type
- Individual (NPI-1)
- Name
- Lacey Saucer
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2022
- Certification date
- Dec 18, 2023
- Last updated
- Dec 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LAC-18440 | AZ | Yes |
Practice location
3330 N 2nd St Ste 601Phoenix, AZ 85012-2395
Phone 602-230-7373 · Fax 602-230-5105
Mailing address
3101 N Central Ave Ste 550Phoenix, AZ 85012-2635
Phone 602-230-7373
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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