Healthcare Provider Details

I. General information

NPI: 1831078401
Provider Name (Legal Business Name): RALUCA MAXIM PHD., MS, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RALU MAXIM PHD./DR.

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 147TH PL NE
BELLEVUE WA
98007-4119
US

IV. Provider business mailing address

909 147TH PL NE
BELLEVUE WA
98007-4119
US

V. Phone/Fax

Practice location:
  • Phone: 425-681-5282
  • Fax:
Mailing address:
  • Phone: 425-681-5282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: