Individual
AMY FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1833 S MILLENIUM WAY # 120, MERIDIAN, ID 83642-1510
(208) 343-7797
Mailing address
14886 MASTERS DR, CALDWELL, ID 83607-7693
(208) 684-0008
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8341154
ID
106H00000X
Marriage & Family Therapist
MFTI-9413
ID
Other
Enumeration date
03/20/2024
Last updated
07/30/2025
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