| Hope Behavioral Services Of Volusia Llc | |
|
210 S Beach St Ste 200 Daytona Beach FL 32114-4433 | |
| (386) 383-4562 | |
| (386) 256-2320 |
| Full Name | Hope Behavioral Services Of Volusia Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 210 S Beach St Ste 200, Daytona Beach, Florida |
| Authorized Official Name and Position | Willie Wallace (OWNER/CEO) |
| Authorized Official Contact | 3863834562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Behavioral Services Of Volusia Llc 210 S Beach St Ste 200 Daytona Beach FL 32114-4433 Ph: (386) 383-4562 | Hope Behavioral Services Of Volusia Llc 210 S Beach St Ste 200 Daytona Beach FL 32114-4433 Ph: (386) 383-4562 |
| NPI Number | 1891317525 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 05/10/2025 |
| Certification Date | 05/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891317525 | NPI | - | NPPES |
| 106519500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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