LIFE MANAGEMENT CENTER
NPI 1942235320
Counselor in Panama City, FL

Q: What is Life Management Center Of Northwest Florida Inc.'s specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since July 12, 2006CLIA 10D2330257 · Waiver

525 E 15TH ST, PANAMA CITY, FL 32405(850) 522-4480(850) 914-6281 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Life Management Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE MANAGEMENT CENTER (NPI 1942235320) is a healthcare organization registered as a counselor in Panama City, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Edwin Ailes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942235320

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameLIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC.

Location Address525 E 15TH STPanama City, FL 32405-5412

Mailing Address525 E 15th StPanama City, FL 32405-5412 · (850) 522-4480 · Fax (850) 914-6281

Phone(850) 522-4480

Fax(850) 914-6281

Organization SubpartNo

Authorized OfficialEdwin AilesExecutive Director · (850) 522-4485

Enumeration DateJuly 12, 2006

Last NPPES UpdateMarch 29, 2024

NPPES CertifiedMarch 29, 2024

✔ NPI 1942235320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

525 E 15TH ST, Panama City, FL 32405

Open in Google Maps ↗

Other Names 1

Other NameLife Management Center

Other Identifiers 1

Medicaid060296528FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2330257

Life Management Center Of Northwest Florida, Inc · Panama City, FL

Active · expires Sep 11, 2027

CLIA Number10D2330257

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 12, 2025

Certificate Expiration DateSeptember 11, 2027

Laboratory DirectorBarton Lewis

Laboratory Phone(850) 522-4485

Laboratory LocationLife Management Center Of Northwest Florida, Inc525 E 15th Street, Panama City, FL 32405

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE MANAGEMENT CENTER OF NW FL, INC.

Community/Behavioral Health