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LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC NPI 1659301877


NPI Information

NPI: 1659301877
Provider Name: LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC

Other Name: LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
16869 NE PEAR ST
BLOUNTSTOWN, FL
ZIP 32424
Phone: (850) 522-4480
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LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC is a psychiatry psychiatry neurology in Blountstown, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC NPI is 1659301877. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Life Management Center Of Northwest Florida Inc.

The provider's business location address is:

16869 NE PEAR ST
BLOUNTSTOWN, FL
ZIP 32424-774
Phone: (850) 522-4480
Fax: (850) 914-6281

The provider's authorized official is Edwin Ailes .
The authorized official title is Executive Director and has the following contact phone number (850) 522-4480.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 10/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
199260EMEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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