=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316097850
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NATIONAL BOARD OF FORENSIC EVALUATORS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 595 W GRANADA BLVD STE H
-----------------------------------------------------
City | ORMOND BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32174-5182
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-677-3995
-----------------------------------------------------
Fax | 386-673-0130
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 595 W GRANADA BLVD STE H
-----------------------------------------------------
City | ORMOND BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32174-5182
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-677-3995
-----------------------------------------------------
Fax | 386-673-0130
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT CLINICAL DIRECTOR
-----------------------------------------------------
Name | DR. NORMAN EDWARD HOFFMAN
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 386-677-3995
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MH0001309
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | MT0001123
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------