Provider Demographics
NPI:1700422714
Name:NIEMI, LACEY EVELYN (MA, LMHCA)
Entity type:Individual
Prefix:
First Name:LACEY
Middle Name:EVELYN
Last Name:NIEMI
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 SHUMWAY RD
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-8763
Mailing Address - Country:US
Mailing Address - Phone:360-420-1178
Mailing Address - Fax:
Practice Address - Street 1:307 N OLYMPIC AVE STE 203
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1351
Practice Address - Country:US
Practice Address - Phone:425-931-8533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61555987101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor