Organization Active NPI

Marvellous Behavioral Health and Mediation, LLC

  • Community/Behavioral Health Agency
  • Panama City, FL
National Provider Identifier
1831600618
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH12363 Issued in FL
Legal business name
MARVELLOUS BEHAVIORAL HEALTH AND MEDIATION, LLC
Practice address
1015 Grace Ave Ste B
Panama City, FL 32401-2494
Phone
(850) 215-1808
Fax
(850) 215-1895
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marvel L. Estes, LMHC, CAP, NCC
Title
Owner
Phone
(850) 624-7898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH12363 FL Primary

Addresses

Primary practice location

1015 Grace Ave Ste B
Panama City, FL 32401-2494

Mailing address

1015 Grace Ave Ste B
Panama City, FL 32401-2494
Phone (850) 215-1808

National Provider Directory

National Provider Directory

Locations

1015 Grace Ave
#B
Panama City, FL 32401
Phone (850) 215-1808

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1831600618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GRACE AVE STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012494",
            "telephone_number": "850-215-1808",
            "fax_number": "850-215-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 GRACE AVE STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012494",
            "telephone_number": "850-215-1808",
            "fax_number": "850-215-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVELLOUS BEHAVIORAL HEALTH AND MEDIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2025-09-19",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "MARVEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-624-7898",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, CAP, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH12363",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.