Individual
MS. AMANDA FORISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
200 E GRANADA BLVD STE D, ORMOND BEACH, FL 32176-6694
(307) 257-2331
(307) 670-8042
Mailing address
319 OAK FERN CIR, ORMOND BEACH, FL 32174-4875
(307) 363-2250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC1828
WY
101YM0800X
Mental Health Counselor
Primary
MH24302
FL
101YM0800X
Mental Health Counselor
PPC-1056
WY
103K00000X
Behavior Analyst
MH24302
FL
Other
Enumeration date
03/07/2018
Last updated
06/18/2025
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