IndividualActive
Amelia Forman, LCDC
NPI 1467278002 · Addiction (Substance Use Disorder) Counselor · Round Rock, TX
Provider details
- NPI number
- 1467278002
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCDC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14492 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1009 N Georgetown St
Round Rock, TX 78664-3289
Phone: (512) 255-1720
Approximate (ZIP-level) locationGet directions
Mailing address
1009 N Georgetown St
Round Rock, TX 78664-3289
Registry dates
- Enumerated
- 2024-11-27
- Last updated
- 2024-11-27
- Certified
- 2024-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.