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LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC. NPI 1942235320


NPI Information

NPI: 1942235320
Provider Name: LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC.

Other Name: LIFE MANAGEMENT CENTER

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
525 E 15TH ST
PANAMA CITY, FL
ZIP 32405
Phone: (850) 522-4480
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LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC. is a counselor in Panama City, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC. NPI is 1942235320. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Life Management Center.

The provider's business location address is:

525 E 15TH ST
PANAMA CITY, FL
ZIP 32405-412
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) 522-4485.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/22/2020.


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
1101Y00000XCounselorYes
2101YM0800XCounselorMental HealthX
3103T00000XPsychologistX
4103TB0200XPsychologistCognitive & BehavioralX
51041C0700XSocial WorkerClinicalX
6106H00000XMarriage & Family TherapistX
72084P0800XPsychiatry & NeurologyPsychiatryX

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.