MEDICARE: MR. MICHAEL YATES

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	LH61201665	WA

General Provider Information

NPI Number	:	1619112224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL YATES

Provider Business Mailing Address
First Line	:	8415 PARK DR APT 7
Second Line	:
City	:	STANWOOD
State	:	WA
Zip	:	98292-7446
Country	:	US
Telephone Number	:	425-507-7064
Fax Number	:

Provider Business Practice Location Address
First Line	:	8415 PARK DR APT 7
Second Line	:
City	:	STANWOOD
State	:	WA
Zip	:	98292-7446
Country	:	US
Telephone Number	:	425-507-7064
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2008
Last Update Date	:	02/11/2026

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Directions to “ MR. MICHAEL YATES ” Practice Location

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