Life Dance Inc

LBN: Life Dance Inc
Life Dance Inc is an health care organization with primary practice located at 6417 Nw 37Th Dr , Gainesville FL 32653-0868. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Life Dance Inc can be contacted via phone (352) 335-1240, or through Manuel, Mark A via phone (352) 335-1240.

Contact Information

Primary practice address
6417 Nw 37Th Dr Gainesville FL 32653-0868
Phone: (352) 335-1240
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Manuel, Mark A PSY.D.
Phone: (352) 335-1240

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1104905348
LBN Legal business name Life Dance Inc
DBA Doing business as
Authorized official Manuel, Mark A PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 5th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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