Life Management Center Of Northwest Florida Inc in Panama City - Community/behavioral Health
Life Management Center Of Northwest Florida Inc - NPI 1003022369
Life Management Center Of Northwest Florida Inc is a Community/behavioral Health in Panama City, Florida. Life Management Center Of Northwest Florida Inc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Life Management Center Of Northwest Florida Inc is 1003022369. The last update date is 2008-07-31.
Life Management Center Of Northwest Florida Inc's current location address is 525 E 15th St, Panama City, Florida. You can contact this provider via phone number 8505224480 and fax number 8509146281. The mailing address for Life Management Center Of Northwest Florida Inc is 525 E 15th St, Panama City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Management Center Of Northwest Florida Inc |
|---|---|
| Address | 525 E 15th St, Panama City, Florida |
| Phone Number | 8505224480 |
| Fax Number | 8509146281 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Ailes R. Edwin |
| Credentials | LMFT |
| Telephone Number | 8505228840 |
NPI Number Detail
| NPI Number | 1003022369 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
| Address | 525 E 15th St |
|---|---|
| City | Panama City |
| State | Florida (FL) |
| Post Code | 324055412 |
| Phone Number | 8505224480 |
| Fax Number | 8509146281 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 141301500 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Life Management Center Of Northwest Florida Inc?
The Life Management Center Of Northwest Florida Inc has been issued the NPI (National Provider Identifier) 1003022369 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Life Management Center Of Northwest Florida Inc's physical address?
The Life Management Center Of Northwest Florida Inc is physically located at 525 E 15Th St, in the city of Panama City, FL, with the postal code 324055412.
What is the Life Management Center Of Northwest Florida Inc's specialty and taxonomy code?
The Life Management Center Of Northwest Florida Inc's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Life Management Center Of Northwest Florida Inc receive the assignment of its 1003022369 from the Centers for Medicare & Medicaid Services?
The Life Management Center Of Northwest Florida Inc was issued its 1003022369 by the Centers for Medicare & Medicaid Services on 2007-05-15.
As of what date were the Life Management Center Of Northwest Florida Inc's details last updated?
The information pertaining to the Life Management Center Of Northwest Florida Inc, including its address, specialty, and other details, was most recently updated on 2008-07-31.