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Life Dance Inc

Life Dance Inc is a healthcare organization registered as Clinical Psychologist in Gainesville, FL, holding Type 2 (organization) NPI 1104905348 since 2006. The authorized official on file is Mark Manuel, President.

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NPI 1104905348
Entity type Organization (Type 2)
Legal business name Life Dance Inc
Practice address 6417 NW 37TH DR, Gainesville, FL, 32653
Phone 3523351240
Enumeration date 2006-11-06
Last updated in NPPES 2014-08-05

Authorized official

Name Mark Manuel
Title President
Phone 3523351240

Taxonomy & classification

Taxonomy code Specialty Primary License State
103TC0700X Clinical Psychologist Primary
Copy-ready billing details
Provider: Life Dance Inc
NPI: 1104905348
Taxonomy: 103TC0700X (Clinical Psychologist)
Address: 6417 NW 37TH DR, Gainesville, FL, 32653

Providers at this address

NPI Name Type Specialty Location
1447339783 Mark Manuel Individual Mental Health Counselor Gainesville, FL

Verify this record

Cross-check NPI 1104905348 against the authoritative CMS record: view Life Dance Inc on the official NPPES registry .

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 or validate an NPI number.

Frequently asked questions

What is the NPI number for Life Dance Inc?
The NPI for Life Dance Inc is 1104905348, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Life Dance Inc?
NPPES lists Mark Manuel (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-08-05.