Life Management Center Of Northwest Florida Inc

LBN: Life Management Center Of Northwest Florida Inc
Life Management Center Of Northwest Florida Inc is an health care organization with primary practice located at 525 E 15Th St , Panama City FL 32405-5412. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Life Management Center Of Northwest Florida Inc can be contacted via phone (850) 522-4480, or through Ailes, Edwin R. via phone (850) 522-8840.

Contact Information

Primary practice address
525 E 15Th St Panama City FL 32405-5412
Phone: (850) 522-4480
Fax: (850) 914-6281
Website:
Map and Directions
Authorized official contact:
Name: Ailes, Edwin R. LMFT
Phone: (850) 522-8840

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1003022369
LBN Legal business name Life Management Center Of Northwest Florida Inc
DBA Doing business as
Authorized official Ailes, Edwin R. LMFT
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Jul 31st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003022369 NPPES
Florida MEDICAID 141301500

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