Individual provider · Type 1 NPI

Amanda Forister, MS

Mental Health Counselor · Ormond Beach, FL

NPI number 1063914869 Active

Practice location

200 E Granada Blvd Ste D
Ormond Beach, FL 32176-6694

Fax (307) 670-8042

Mailing address

319 Oak Fern Cir
Ormond Beach, FL 32174-4875

Other practice locations

  • 319 Oak Fern Cir, Ormond Beach, FL 32174-4875 · (307) 363-2250
  • 812 E 4th St, Gillette, WY 82716-4033 · (307) 682-2013
  • 542 Running W Dr, Gillette, WY 82718-2074 · (307) 257-2331
  • 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486 · (855) 832-6727

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPPC-1056 (WY)
Mental Health Counselor 101YM0800XLPC1828 (WY)
Behavior Analyst 103K00000XMH24302 (FL)
Mental Health Counselor Primary 101YM0800XMH24302 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1063914869

Amanda Forister, MS's National Provider Identifier is 1063914869, issued on Mar 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ormond Beach, FL. The record was last updated on Jun 18, 2025.