Individual ProviderTracie Lynn CarlsonCounselorBehavioral Health & Social Service ProvidersPractice Address13115 121st Way NE Ste C, Kirkland, WA 98034-3051(425) 821-1800PECOS EnrollmentBased on the most recent information from CMS, provider Tracie Lynn Carlson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1679646525Provider TypeIndividualFull NameCarlson, Tracie LynnCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date11/16/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address13115 121st Way NE Ste C, Kirkland, WA 98034-3051Phone(425) 821-1800Fax(425) 821-1818Mailing LocationMailing Address13115 121st Way NE Ste C, Kirkland, WA 98034-3051Phone(425) 821-1800Fax(425) 821-1818Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH00008574Washington