Provider Demographics
NPI:1053965640
Name:RAIN-SHADID, WILLIAM MARIA
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MARIA
Last Name:RAIN-SHADID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BILLIE
Other - Middle Name:
Other - Last Name:RAIN-SHADID
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6700 MENCHACA RD UNIT 14A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5014
Mailing Address - Country:US
Mailing Address - Phone:512-394-4338
Mailing Address - Fax:
Practice Address - Street 1:6700 MENCHACA RD UNIT 14A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5014
Practice Address - Country:US
Practice Address - Phone:512-394-4338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1043091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical