Provider Demographics
NPI:1568896447
Name:HOOKS, PHILLIP ALAN
Entity Type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:ALAN
Last Name:HOOKS
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:PHILLIP
Other - Middle Name:ALAN
Other - Last Name:HOOKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:3205 NW 83RD ST
Mailing Address - Street 2:APT. 214B
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6229
Mailing Address - Country:US
Mailing Address - Phone:321-274-5249
Mailing Address - Fax:
Practice Address - Street 1:3205 NW 83RD ST
Practice Address - Street 2:APT. 214B
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6229
Practice Address - Country:US
Practice Address - Phone:321-274-5249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health