Forister, Amanda

Forister, Amanda is an individual health care provider with primary practice located at 200 E Granada Blvd Ste D , Ormond Beach FL 32176-6694. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Forister, Amanda can be contacted via phone (307) 257-2331.

Contact Information

Primary practice address
200 E Granada Blvd Ste D Ormond Beach FL 32176-6694
Phone: (307) 257-2331
Fax: (307) 670-8042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PPC-1056 Wyoming
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC1828 Wyoming
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X MH24302 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH24302 Florida

Profile Details

NPI number 1063914869
LBN Legal business name Forister, Amanda
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2018
Last updated Jun 18th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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