LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA, INC. (NPI# 1528098779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528098779 |
| Entity Type | Organization |
| Organization Name | LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA, INC. |
| Other Organization Name | LIFE MANAGEMENT CENTER |
| Practice Address |
3371 Sasser Road Vernon FL 32462 |
| Mailing Address |
525 E 15th St Panama City FL 32405-5412 |
| Practice Telephone | 8505224480 |
| Practice Fax Number | 8509146281 |
| Mailing Telephone | 8505224480 |
| Mailing Fax Number | 8509146281 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EDWIN AILES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8505224480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Life Management Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649206954 | Life Management Center of Northwest Florida, Inc. | Counselor | 686 5th St, Chipley, FL 32428-1430 | 2006-06-26 |
| Street Address |
3371 SASSER ROAD |
| City | VERNON |
| State | FL |
| Zip Code | 32462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134422470 | Northwest Florida Healthcare, Inc. | Family Medicine | 3250 Main St, Vernon, FL 32462 | 2010-12-08 |
| 1437187440 | Helena Cosby-garcia | Counselor | 3134 Moss Hill Rd, Vernon, FL 32462 | 2006-06-29 |
| 1275706087 | Jessica Lynn Mahaffey | Massage Therapist | 2829 Yellow Jacket Dr, Vernon, FL 32462-2011 | 2008-04-12 |
| 1326095944 | Dawn Rene', Inc. | Nurse Practitioner | 3027 Main St, Post Office Box 829, Vernon, FL 32462-2220 | 2006-05-28 |
| 1215981667 | Dawn Rene Frost | Nurse Practitioner | 3027 Main Street, Vernon, FL 32462-2220 | 2006-05-20 |
| 1851819809 | Michelle Joy Daniels | Nurse Practitioner | 3027 Main St, Vernon, FL 32462-2220 | 2017-08-30 |
| 1851545115 | Dawn Rene LLC | Nurse Practitioner | 3027 Main St, Vernon, FL 32462-2220 | 2008-11-12 |
| 1063497972 | Vernon Discount Drug Inc | Pharmacy | 3248 Main St, Vernon, FL 32462-2223 | 2005-12-13 |
| 1912287939 | Northwest Florida Healthcare, Inc. | General Practice | 3250 Main St, Vernon, FL 32462-2223 | 2011-08-22 |
| 1083951396 | Health First Research Group Inc | Specialist | 4465 Wickers Pond Rd, Vernon, FL 32462-3062 | 2013-01-07 |
| Find all providers in zip 32462 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306206586 | Susan Frantz | Counselor | 130 Old Town Rd, Vernon, CT 06066-2322 | 2016-03-01 |
| 1942440110 | Judith E Clarke | Counselor | 14 Oxbow Dr, Vernon, CT 06066-4313 | 2009-03-02 |
| 1992893440 | Rina Lad Prajapati | Counselor | 336 Center Rd, Apt. 15d, Vernon, CT 06066-4179 | 2006-10-10 |
| 1437187440 | Helena Cosby-garcia | Counselor | 3134 Moss Hill Rd, Vernon, FL 32462 | 2006-06-29 |
| 1609802388 | Leela Panoor | Counselor | 155 W Main St, Vernon, CT 06066-3578 | 2006-06-24 |
| 1467991281 | Devin Keyes | Counselor | 281 Hartford Tpke, Suite 104, Vernon, CT 06066-4784 | 2017-02-13 |
| 1972945426 | Barbara Pajak | Counselor | 428 Hartford Tpke, Vernon, CT 06066-4841 | 2013-07-25 |
| 1780610469 | Barbara Oliveira | Counselor | 155 W Main St, Vernon, CT 06066-3578 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588322 | Rebecca Ann Heald | Counselor | 2430 Duncan Dr, Niceville, FL 32578-2916 | 2020-11-02 |
| 1598366171 | Neurodiverse Ability Services LLC | Counselor | 608 Sw Marvin Burnett Rd, Lake City, FL 32025-4918 | 2020-11-02 |
| 1316547839 | Amber Kovach | Counselor | 8290 Matisse St, Champions Gate, FL 33896-8334 | 2020-10-26 |
| 1760081202 | Nih Holdings LLC | Counselor | 7711 N Military Trl Ste 1014, West Palm Beach, FL 33410-6506 | 2020-10-24 |
| 1346849072 | Blanca Rodriguez | Counselor | 1201 Lavender Jewel Ct, Plant City, FL 33563-2515 | 2020-10-23 |
| 1235738063 | Selena Giordano | Counselor | 1001 East Baker Street #100, Plant City, FL 33563 | 2020-10-22 |
| 1306444989 | Robert A Fahey | Counselor | 3927 Vine Tree Trl Apt A, Lake Worth, FL 33467-8540 | 2020-10-15 |
| 1952909178 | Elizabeth Leon | Counselor | 1067 Nw 119th St, North Miami, FL 33168-6240 | 2020-10-09 |
| 1518564301 | Lisa Chhabra | Counselor | 504 Pelican Ln N, Jupiter, FL 33458-8365 | 2020-10-05 |
| 1124635081 | Always Behavioral Counseling Services | Counselor | 5724 Byron Anthony Pl Apt 338, Sanford, FL 32771-8633 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.