Active NPI
Marvellous Behavioral Health and Mediation, LLC
- Community/Behavioral Health Agency
- Panama City, FL
National Provider Identifier
1831600618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MH12363
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.