Life Management Center

LBN: Life Management Center Of Northwest Florida Inc.
Life Management Center is an health care organization with primary practice located at 525 E 15Th St , Panama City FL 32405-5412. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Life Management Center Of Northwest Florida Inc. can be contacted via phone (850) 522-4480, or through Ailes, Edwin via phone (850) 522-4485.

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
Phone: (850) 522-4485

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1942235320
LBN Legal business name Life Management Center Of Northwest Florida Inc.
DBA Doing business as Life Management Center
Authorized official Ailes, Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 29th, 2024 - about 6 months 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 1942235320 NPPES
Florida MEDICAID 060296528

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