Healthcare Provider Details

I. General information

NPI: 1417485921
Provider Name (Legal Business Name): CHRISTINA VALERIE LIM YRANELA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2017
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 118TH AVE SE STE 200
BELLEVUE WA
98005-3554
US

IV. Provider business mailing address

1037 NE 65TH ST # 82124
SEATTLE WA
98115-6655
US

V. Phone/Fax

Practice location:
  • Phone: 425-382-8735
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSA60437495
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: