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NPI Code Detail

MEDICARE: RAHAB MARIA FOSTER WILLIAMS

MEDICARE: RAHAB MARIA FOSTER WILLIAMS
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
1101YM0800XMental Health CounselorCA
2103K00000XBehavior AnalystCA
3103TB0200XCognitive & Behavioral PsychologistCA
4103TM1800XIntellectual & Developmental Disabilities PsychologistCA
5171400000XHealth & Wellness CoachCA
6171M00000XCase Manager/Care CoordinatorGA
7171M00000XCase Manager/Care Coordinator
8106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11301386OTHERGABACB

General Provider Information

NPI Number : 1255140208
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAHAB MARIA FOSTER WILLIAMS
Provider Business Mailing Address
First Line : 3307 OVERLOOK DR
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-1694
Country : US
Telephone Number : 706-432-1176
Fax Number :
Provider Business Practice Location Address
First Line : 2751 WARM SPRINGS RD STE A
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-5327
Country : US
Telephone Number : 706-432-1176
Fax Number : 718-865-5165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2025
Last Update Date : 03/15/2025

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Directions to “ RAHAB MARIA FOSTER WILLIAMS ” Practice Location

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