Organization
LIFE MANAGEMENT CENTER OF NW FL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN R. AILES LMFT (EXECUTIVE DIRECTOR)
(850) 522-8840
Entity
Organization
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4480
(850) 914-6281
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4480
(850) 914-6281
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141301500
—
FL
Enumeration date
05/15/2007
Last updated
05/06/2026
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