Individual provider · Type 1 NPI
Melisa Forman, MA, LPC
Professional Counselor · Windermere, FL
NPI number
1265761258
Active
Practice location
13907 Ivory Gardenia Ave
Windermere, FL 34786-3198
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 007920 (PA) |
| Professional Counselor | 101YP2500X | 001617 (CT) |
Professional Counselor: Definition to come...
Other professional counselor providers in Windermere
About NPI 1265761258
Melisa Forman, MA, LPC's National Provider Identifier is 1265761258, issued on Dec 22, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Windermere, FL. The record was last updated on Oct 20, 2026.