MRS. KIMBERLY GAY LACY (NPI# 1215248877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215248877 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY GAY LACY |
| Credential | M.A. L.M.H.C.A. |
| Practice Address |
9450 Ethan Wade Way Se Snoqualmie WA 98065-9520 |
| Mailing Address |
Po Box 969 Snoqualmie WA 98065-0969 |
| Practice Telephone | 4258312100 |
| Practice Fax Number | 4258312112 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC 60117580 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043403751 | Kimberly Kay Lacy | Family Medicine | 445 Gienow Rd, Rural Retreat, VA 24368-3210 | 2007-08-26 |
| 1306220157 | Kimberly Ann Lacy | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2015-07-10 |
| 1174645956 | Kimberly Gould Lacy | Pharmacist | 525 N State of Franklin Rd, Johnson City, TN 37604-8213 | 2007-04-04 |
| Street Address |
9450 ETHAN WADE WAY SE |
| City | SNOQUALMIE |
| State | WA |
| Zip Code | 98065-9520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669982625 | Erika Ingrid Hendron | Occupational Therapist | 9450 Ethan Wade Way Se, Snoqualmie, WA 98065-9520 | 2017-10-04 |
| 1730571910 | Snoqualmie Indian Tribe | Community/Behavioral Health | 9450 Ethan Wade Way Se, Snoqualmie, WA 98065-9520 | 2015-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265807 | Adam Kutzner | Dentist | 34929 Se Ridge Street Suite 220, Snoqualmie, WA 98065 | 2018-12-03 |
| 1396215000 | Anna Maher | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065 | 2018-11-26 |
| 1194271718 | Cindy Costa | Specialist | 38579 Se River Street, Suite 13, Snoqualmie, WA 98065 | 2016-09-01 |
| 1548716830 | Snoqualmie Family Dentistry | Clinic/Center | 38475 Se River Street, Snoqualmie, WA 98065 | 2016-08-28 |
| 1851769202 | Greg Kiper | Counselor | 9571 Ethan Wade Way Se, Snoqualmie, WA 98065 | 2015-09-02 |
| 1952792814 | Casi Davis | Registered Nurse | 8476 Se Reinig Pl, Snoqualmie, WA 98065 | 2015-02-13 |
| 1336484443 | Heidi Biddle | Counselor | 7972 Maple Ave. Se, Snoqualmie, WA 98065 | 2012-11-29 |
| 1255675302 | Patricia Soderlund Holladay | Occupational Therapist | 8001 Silva Ave Se, Snoqualmie, WA 98065 | 2012-11-15 |
| 1750635066 | Anne Elizabeth Mcgavran | Registered Nurse | 8001 Silva Avenue South East, Snoqualmie, WA 98065 | 2012-11-08 |
| 1447552005 | Friends of Youth | Community/Behavioral Health | 7972 Maple Ave. Se., Snoqualmie, WA 98065 | 2010-12-02 |
| Find all providers in zip 98065 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936546 | David Hodel | Counselor | 7517 Douglas Ave Se, Snoqualmie, WA 98065-9728 | 2016-03-30 |
| 1649649328 | Liliana Ivette Moreno-sottile | Counselor | 33911 Se Odell St, Snoqualmie, WA 98065-8739 | 2015-09-23 |
| 1013318435 | Amy Gallaher | Counselor | 35322 Se Swenson St, Snoqualmie, WA 98065-5009 | 2014-09-05 |
| 1942590849 | Rachel L Richter | Counselor | 38579 Se River St, Suite 18, Snoqualmie, WA 98065-9657 | 2011-04-12 |
| 1629306162 | Anthony R Russell | Counselor | 6903 Oakmont Ave Se, Snoqualmie, WA 98065-8716 | 2009-11-20 |
| 1346437225 | Chad Perman | Counselor | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2007-09-25 |
| 1285769117 | Karen Elizabeth Goodwin Douglass | Counselor | 38700 River St Se, Snoqualmie, WA 98065 | 2007-02-22 |
| 1780719591 | Sheila M Hunter | Counselor | 38700 River Street, Snoqualmie, WA 98065-0947 | 2007-02-22 |
| 1861535155 | Stephen Pearson Chick | Counselor | 8224 Railroad Ave. S.e., Snoqualmie, WA 98065 | 2007-02-15 |
| 1558841403 | Kathleen Marie Furness | Counselor | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2018-08-20 |
| Find all providers in SNOQUALMIE | ||||
| City | SNOQUALMIE |
| Zip Code | 98065 |
Please comment or provide details below to improve the information on MRS. KIMBERLY GAY LACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.