MEDICARE: MS. RASHIDA BYAMS OTR/L, CRC, LPC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	001883	GA
2	101YM0800X	Mental Health Counselor	001883	GA
3	101YP2500X	Professional Counselor	001883	GA
4	225XE0001X	Environmental Modification Occupational Therapist	003835	GA
5	225XM0800X	Mental Health Occupational Therapist	003835	GA
6	225XN1300X	Neurorehabilitation Occupational Therapist	003835	GA
7	225XP0019X	Physical Rehabilitation Occupational Therapist	003835	GA

General Provider Information

NPI Number	:	1053636316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RASHIDA BYAMS OTR/L, CRC, LPC

Provider Business Mailing Address
First Line	:	PO BOX 462
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30031-0462
Country	:	US
Telephone Number	:	404-362-7005
Fax Number	:	866-242-6336

Provider Business Practice Location Address
First Line	:	3060 PHARR COURT NORTH NW
Second Line	:	SUITE 31
City	:	ATLANTA
State	:	GA
Zip	:	30305-2052
Country	:	US
Telephone Number	:	404-362-7005
Fax Number	:	866-242-6336

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

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	03/30/2010

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