Healthcare Provider Details

I. General information

NPI: 1962026369
Provider Name (Legal Business Name): MACKENZIE SAULNIER LAC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 TAFT AVE STE 120
LOVELAND CO
80538-8307
US

IV. Provider business mailing address

1437 DENVER AVE
LOVELAND CO
80538-5226
US

V. Phone/Fax

Practice location:
  • Phone: 970-235-1025
  • Fax:
Mailing address:
  • Phone: 970-235-1025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0002147
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0020893
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: