Life Management Center of Northwest Florida Inc
NPI 1710912886 · Psychiatry Physician · Bonifay, FL
Life Management Center of Northwest Florida Inc is a Psychiatry Physician organization in Bonifay, FL (NPI 1710912886).
Provider details
- NPI number
- 1710912886
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Life Management Center of Northwest Florida, Inc
- Organization subpart
- Yes
- Authorized official
- Edwin Ailes, Executive Director(850) 522-4480
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Life Management Center of Northwest Florida Inc
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Frequently asked questions
- What is Life Management Center of Northwest Florida Inc's NPI number?
- Life Management Center of Northwest Florida Inc's National Provider Identifier (NPI) is 1710912886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Management Center of Northwest Florida Inc?
- Life Management Center of Northwest Florida Inc is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Life Management Center of Northwest Florida Inc located?
- Life Management Center of Northwest Florida Inc's practice location on file with NPPES is 310 E Byrd Ave, Bonifay, FL 32425-3006.
- What is Life Management Center of Northwest Florida Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Management Center of Northwest Florida Inc is (850) 522-4480.
- Who is the authorized official for Life Management Center of Northwest Florida Inc?
- The authorized official listed on Life Management Center of Northwest Florida Inc's NPPES record is Edwin Ailes, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Management Center of Northwest Florida Inc's NPI active?
- Yes — Life Management Center of Northwest Florida Inc's NPI (1710912886) is active in the NPPES registry as of the last update on 2025-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.