Organization · Type 2 NPI

Life Management of NW Fl, Inc.

Psychiatry Physician · Marianna, FL

NPI number 1255367579 Active

Practice location

4094 Lafayette St
Marianna, FL 32446-5648

Call (850) 522-4480 Map

Fax (850) 914-6281

Mailing address

525 E 15th St
Panama City, FL 32405-5412

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician Primary	2084P0800X	None listed
Community/Behavioral Health Agency	251S00000X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

10 other providers at this address

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NPI record

NPI: 1255367579
Entity type: Organization (Type 2)
Issued: Jun 26, 2006
Last updated: Apr 24, 2025
Status: Active
Subpart: Yes of Life Management Center of Northwest Florida Inc

Other names

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Life Management Center of Northwest Florida Inc · doing business as

Authorized official

Edwin Ailes
Executive Director
(850) 522-4480

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255367579

Life Management of NW Fl, Inc.'s National Provider Identifier is 1255367579, issued on Jun 26, 2006. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Marianna, FL. The record was last updated on Apr 24, 2025.