Provider Demographics
NPI:1255140208
Name:FOSTER WILLIAMS, RAHAB MARIA
Entity type:Individual
Prefix:
First Name:RAHAB
Middle Name:MARIA
Last Name:FOSTER WILLIAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-1694
Mailing Address - Country:US
Mailing Address - Phone:706-432-1176
Mailing Address - Fax:
Practice Address - Street 1:2751 WARM SPRINGS RD STE A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5327
Practice Address - Country:US
Practice Address - Phone:706-432-1176
Practice Address - Fax:718-865-5165
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-04
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X, 103K00000X, 103TB0200X, 103TM1800X, 171400000X
GA171M00000X
171M00000X, 106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1301386OtherBACB