OrganizationActive
Life Dance Inc
NPI 1104905348 · Clinical Psychologist · Gainesville, FL
Life Dance Inc is a Clinical Psychologist organization in Gainesville, FL (NPI 1104905348).
Provider details
- NPI number
- 1104905348
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mark Manuel, President(352) 335-1240
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
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
6417 Nw 37th Dr
Gainesville, FL 32653-0868
Phone: (352) 335-1240
Approximate (ZIP-level) locationGet directions
Mailing address
6417 Nw 37th Dr
Gainesville, FL 32653-0868
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2014-08-05
Frequently asked questions
- What is Life Dance Inc's NPI number?
- Life Dance Inc's National Provider Identifier (NPI) is 1104905348, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Dance Inc?
- Life Dance Inc is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Life Dance Inc located?
- Life Dance Inc's practice location on file with NPPES is 6417 Nw 37th Dr, Gainesville, FL 32653-0868.
- What is Life Dance Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Dance Inc is (352) 335-1240.
- Who is the authorized official for Life Dance Inc?
- The authorized official listed on Life Dance Inc's NPPES record is Mark Manuel, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Dance Inc's NPI active?
- Yes — Life Dance Inc's NPI (1104905348) is active in the NPPES registry as of the last update on 2014-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.