Provider Demographics
NPI:1053636316
Name:BYAMS, RASHIDA (OTR/L, CRC, LPC)
Entity Type:Individual
Prefix:MS
First Name:RASHIDA
Middle Name:
Last Name:BYAMS
Suffix:
Gender:F
Credentials:OTR/L, CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 462
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30031-0462
Mailing Address - Country:US
Mailing Address - Phone:404-362-7005
Mailing Address - Fax:866-242-6336
Practice Address - Street 1:3060 PHARR COURT NORTH NW
Practice Address - Street 2:SUITE 31
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2052
Practice Address - Country:US
Practice Address - Phone:404-362-7005
Practice Address - Fax:866-242-6336
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001883101YA0400X, 101YM0800X, 101YP2500X
GA003835225XE0001X, 225XM0800X, 225XN1300X, 225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation