Healthcare Provider Details

I. General information

NPI: 1811879174
Provider Name (Legal Business Name): MICHAEL DELANO VALDEZ BAUN LCMHCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL RD
CHEROKEE NC
28719
US

IV. Provider business mailing address

PO BOX 96809
CHARLOTTE NC
28296-6809
US

V. Phone/Fax

Practice location:
  • Phone: 828-497-9163
  • Fax: 828-497-1723
Mailing address:
  • Phone: 828-497-9163
  • Fax: 828-497-1723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-30892
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA21498
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: