Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Blackholly Consulting

Organization Community/Behavioral Health Agency · NPI 1649678269

Amy Blackholly Consulting is a Community/Behavioral Health Agency in Lake Forest, California. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

25892 Vicar Way
Lake Forest, CA 92630-5926
Phone: (949) 350-9557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1649678269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Blackholly — Behavior Analyst · (949) 350-9557
NPI enumeratedDecember 13, 2014
Last updated in NPPESDecember 13, 2014
Mailing address25892 Vicar Way, Lake Forest, CA 92630-5926

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