Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Life Management Center of Northwest Florida Inc

Psychiatry Physician in Bonifay, FL · enumerated 2006 · authorized official Edwin Ailes, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710912886

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Registry record

Entity type Organization (Type 2)

Legal business name Life Management Center of Northwest Florida Inc

Other name <Unavail>

Parent organization Life Management Center of Northwest Florida, Inc

Practice address 310 E Byrd Ave, Bonifay, FL, 32425

Phone (850) 522-4480

Fax (850) 914-6281

Enumeration date Jul 11, 2006

Last updated in NPPES Apr 24, 2025

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Edwin Ailes

Title Executive Director

Phone (850) 522-4480

Other identifiers

Identifier	Type	State	Issuer
060296549	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Life Management Center of Northwest Florida Inc?

Life Management Center of Northwest Florida Inc is registered in NPPES as a Psychiatry Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-24.