Active NPI
Life Management Center of NW FL, Inc.
- Community/Behavioral Health Agency
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE MANAGEMENT CENTER OF NW FL, INC.
- Practice address
- 525 E 15TH St
Panama City, FL 32405-5412 - Phone
- (850) 522-4480
- Fax
- (850) 914-6281
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edwin R. Ailes, LMFT
- Title
- Executive Director
- Phone
- (850) 522-8840
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
525 E 15TH St
Panama City, FL 32405-5412
Mailing address
525 E 15TH St
Panama City, FL 32405-5412
Phone (850) 522-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141301500 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Life Management Cent
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Counselor
- Panama City, FL
- NPI 1942235320
-
- Mental Health Counselor
- Panama City, FL
- NPI 1467487876
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Panama City, FL
- NPI 1639168958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1003022369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055412",
"telephone_number": "850-522-4480",
"fax_number": "850-914-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055412",
"telephone_number": "850-522-4480",
"fax_number": "850-914-6281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE MANAGEMENT CENTER OF NW FL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "AILES",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "850-522-8840",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141301500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.