Healthcare Provider Details

I. General information

NPI: 1528457421
Provider Name (Legal Business Name): MICHAEL SHANE YOW LCSWA, LCASA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2015
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3770 SKYLAND DR
SYLVA NC
28779-8360
US

IV. Provider business mailing address

PO BOX 865
CULLOWHEE NC
28723-0865
US

V. Phone/Fax

Practice location:
  • Phone: 828-399-1399
  • Fax: 828-475-0400
Mailing address:
  • Phone: 828-399-1399
  • Fax: 828-475-0400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024390
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-31749
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: