Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Dance Inc

Organization Clinical Psychologist · NPI 1104905348

Life Dance Inc is a Clinical Psychologist in Gainesville, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6417 NW 37th Dr
Gainesville, FL 32653-0868
Phone: (352) 335-1240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1104905348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Manuel — President · (352) 335-1240
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 5, 2014
Mailing address6417 Nw 37th Dr, Gainesville, FL 32653-0868

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