LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC. (NPI# 1942235320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942235320 |
| Entity Type | Organization |
| Organization Name | LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC. |
| Other Organization Name | LIFE MANAGEMENT CENTER |
| Practice 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 | 2006-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EDWIN AILES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8505224485 |
| 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 | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
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 |
|---|---|---|---|---|
| 1457386831 | Life Management Center of Northwest Florida Inc. | Counselor | 2936 Ormond Ave, Panama City, FL 32405-6986 | 2006-07-12 |
| Street Address |
525 E 15TH ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448615 | Paul H Wurst | Psychiatry & Neurology | 525 E 15th St, Panama City, FL 32405-5412 | 2005-06-22 |
| 1093342552 | Roseth E Kyerematen | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2020-03-25 |
| 1912532144 | Pamela E. Wallace | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2020-03-09 |
| 1609419936 | Timothy Arrant | Counselor | 525 E 15th St, Panama City, FL 32405-5400 | 2019-10-18 |
| 1801440763 | Jennifer Sue Davis | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-07-30 |
| 1598327082 | Lydia Munoz | Licensed Practical Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2019-07-03 |
| 1831750066 | Antonio L Campbell | Licensed Practical Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-06-27 |
| 1831757715 | Amanda Nicole Odell | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-06-05 |
| 1396203824 | Victoria Augusta Terry | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2019-03-04 |
| 1891250296 | Luke Abbey | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5400 | 2019-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| 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 |
|---|---|---|---|---|
| 1356744676 | Amber Finley | Counselor | 3913 Pisa Dr, Apt G7, Panama City, FL 32405-3452 | 2014-10-01 |
| 1194073601 | Jason Glenn Tucker | Counselor | 2711 W. 15th Street, Florida Therapy Services, Panama City, FL 32401 | 2012-08-15 |
| 1144367194 | Lolita Ann Smith | Counselor | 648 Florida Ave, Panama City, FL 32401-6311 | 2007-01-31 |
| 1457386831 | Life Management Center of Northwest Florida Inc. | Counselor | 2936 Ormond Ave, Panama City, FL 32405-6986 | 2006-07-12 |
| 1730632142 | Jordan Camba | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2016-08-02 |
| 1962955880 | Renata L Chambers | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2016-07-27 |
| 1326401878 | Ashleigh Sauder | Counselor | 914 Harrison Ave, Panama City, FL 32401-2528 | 2016-04-01 |
| 1043679210 | Regina Cox | Counselor | 102 Springhill Cir, Panama City, FL 32405-3546 | 2016-02-17 |
| 1912378902 | Stephanie Kimbrough | Counselor | 914 Harrison Ave, Panama City, FL 32401-2528 | 2015-10-15 |
| 1003287772 | Samantha Ashley Morrison | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2015-10-07 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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.