Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Life Management Center of Northwest Florida Inc

Organization Counselor · NPI 1942235320

Life Management Center of Northwest Florida Inc is a Counselor in Panama City, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

525 E 15th St
Panama City, FL 32405-5412
Phone: (850) 522-4480
Fax: (850) 914-6281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1942235320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edwin Ailes — Executive Director · (850) 522-4485
Other names Life Management Center
NPI enumeratedJuly 12, 2006
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address525 E 15th St, Panama City, FL 32405-5412

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