Organization
HANCOCK-SMITH PEDIATRIC & BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANYALIESE DOMINIQUE HANCOCK-SMITH PHD (OWNER & LICENSED PSYCHOLOGIST)
(386) 518-6006
Entity
Organization
Contact information
Practice address
13900 TECH CITY CIR STE 408, ALACHUA, FL 32615-6090
(386) 518-6006
(386) 518-6024
Mailing address
PO BOX 305, ALACHUA, FL 32616-0305
(386) 518-6006
(385) 518-6024
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
08/02/2021
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