MEDICARE: MICHAEL YATES COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1447100102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL YATES COUNSELING PLLC

Provider Business Mailing Address
First Line	:	8415 PARK DR
Second Line	:
City	:	STANWOOD
State	:	WA
Zip	:	98292-5934
Country	:	US
Telephone Number	:	425-507-7064
Fax Number	:

Provider Business Practice Location Address
First Line	:	8415 PARK DR
Second Line	:
City	:	STANWOOD
State	:	WA
Zip	:	98292-5934
Country	:	US
Telephone Number	:	425-507-7064
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	MR. MICHAEL JEROME YATES
Credential	:	MA, CRC, LMHC
Telephone Number	:	425-507-7064

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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