LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA, INC. (NPI# 1649206954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649206954 |
| Entity Type | Organization |
| Organization Name | LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA, INC. |
| Other Organization Name | LIFE MANAGEMENT CENTER |
| Practice Address |
686 5th St Chipley FL 32428-1430 |
| Mailing Address |
525 E 15th St Panama City FL 32405-5412 |
| Practice Telephone | 8505224480 |
| Mailing Telephone | 8505224480 |
| Mailing Fax Number | 8509146281 |
| Enumeration Date | 2006-06-26 |
| 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 | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
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 |
|---|---|---|---|---|
| 1528098779 | Life Management Center of Northwest Florida, Inc. | Counselor | 3371 Sasser Road, Vernon, FL 32462 | 2006-07-04 |
| Street Address |
686 5TH ST |
| City | CHIPLEY |
| State | FL |
| Zip Code | 32428-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245590918 | Restore Therapy and Wellness, Inc. | Clinic/Center | 877 Third Street, Suite 1, Chipley, FL 32428 | 2012-05-29 |
| 1851470827 | Washington County School Board | Local Education Agency (LEA) | 652 3rd Street, Chipley, FL 32428 | 2006-11-02 |
| 1578659769 | Arthur Clayton Zediker | Dentist | 5016 Pine Ridge Dr, Chipley, FL 32428 | 2006-10-05 |
| 1528159480 | Teresa Lynn Seay | Nurse Practitioner | 1351 South Blvd, Chipley, FL 32428 | 2006-09-27 |
| 1386753044 | Jack Rogers Taylor | Dentist | 843 Hwy 277, Chipley, FL 32428 | 2006-08-29 |
| 1992818447 | William Edwin Cox IIi | Dentist | 699 2nd St, Chipley, FL 32428 | 2006-08-17 |
| 1255319695 | Samuel E Ward Md Pl | Family Medicine | 1410 Brickyard Rd, Chipley, FL 32428 | 2006-01-05 |
| 1407309867 | Doris M Roberts | Nurse Practitioner | 4455 Sam Mitchell Dr, Chipley, FL 32428 | 2016-08-02 |
| 1114017548 | Robert W Snare Md Pa | General Practice | 1187 Main St, Ste 3, Chipley, FL 32428 | 2006-10-14 |
| 1124117809 | Belinda Gail Parker Mcrae | Nurse Practitioner | 1410 Brickyard Rd, Samuel E Ward Md Pl, Chipley, FL 32428 | 2006-10-12 |
| Find all providers in zip 32428 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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| 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.