SearchTexas101YA0400X

Amelia Forman, LCDC

NPI 1467278002 · on the registry since 2024 · sole proprietor

Practice

Address
1009 N Georgetown St
Round Rock, TX 78664
Phone
(512) 255-1720
Organisation at this address
Tejas Next Health
Bluebonnet Trails Mhmr Center
Bluebonnet Trails Mhmr Center
Bluebonnet Trails Community Services
Bluebonnet Trails Community Mhmr Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
205

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas