Individual ProviderLacy MilonasCounselorBehavioral Health & Social Service ProvidersPractice Address12121 100th Ave NE, Kirkland, WA 98034-6743(253) 336-5515PECOS EnrollmentBased on the most recent information from CMS, provider Lacy Milonas 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 ID1780110528Provider TypeIndividualFull NameMilonas, LacyCredentialMA, MHP, LMHCAGenderFemaleSole ProprietorYesEnumeration Date5/11/2017Last Updated5/11/2017Contact InformationPractice LocationPractice Address12121 100th Ave NE, Kirkland, WA 98034-6743Phone(253) 336-5515FaxUnlisted FaxMailing LocationMailing Address12424 100th Ave NE, Kirkland, WA 98034-2718Phone(253) 336-5515FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseH60760099WashingtonCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMC60601856Washington