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HANCOCK-SMITH PEDIATRIC & BEHAVIORAL HEALTH, LLC - Florida Company Profile

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Company Details

Entity Name: HANCOCK-SMITH PEDIATRIC & BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Aug 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Oct 2018 (7 years ago)
Document Number: L17000167570
FEI/EIN Number 83-1042284
Address: 13900 Tech City Circle, ALACHUA, FL, 32615, US
Mail Address: PO BOX 305, ALACHUA, FL, 32616-0305, US
ZIP code: 32615
City: Alachua
County: Alachua
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HANCOCK-SMITH ANYALIESE DDR. Manager 14838 NW 149TH PLACE, ALACHUA, FL, 32615
HANCOCK-SMITH ANYALIESE DPH.D. Agent 14838 NW 149TH PLACE, ALACHUA, FL, 32615

National Provider Identifier

NPI Number:
1396354858
Certification Date:
2021-08-02

Authorized Person:

Name:
DR. ANYALIESE DOMINIQUE HANCOCK-SMITH
Role:
OWNER & LICENSED PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3855186024
Fax:
3865186024

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-07 13900 Tech City Circle, SUITE 408, ALACHUA, FL 32615 -
CHANGE OF MAILING ADDRESS 2019-04-29 13900 Tech City Circle, SUITE 408, ALACHUA, FL 32615 -
REINSTATEMENT 2018-10-08 - -
REGISTERED AGENT NAME CHANGED 2018-10-08 HANCOCK-SMITH, ANYALIESE D, PH.D. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
LC AMENDMENT AND NAME CHANGE 2018-06-11 HANCOCK-SMITH PEDIATRIC & BEHAVIORAL HEALTH, LLC -

Documents

Name Date
ANNUAL REPORT 2025-02-17
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-03-07
ANNUAL REPORT 2020-05-25
ANNUAL REPORT 2019-04-29
REINSTATEMENT 2018-10-08
LC Amendment and Name Change 2018-06-11
Florida Limited Liability 2017-08-07

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Date of last update: 01 Aug 2025

Sources: Florida Department of State