Healthcare Provider Details

I. General information

NPI: 1982160412
Provider Name (Legal Business Name): THE ARC OF VOLUSIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 JIMMY HUGER CIR
DAYTONA BEACH FL
32117-5108
US

IV. Provider business mailing address

100 JIMMY HUGER CIR
DAYTONA BEACH FL
32117-5108
US

V. Phone/Fax

Practice location:
  • Phone: 386-274-4736
  • Fax: 386-274-1222
Mailing address:
  • Phone: 386-274-4736
  • Fax: 386-274-1222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURIE J DAVIS
Title or Position: CEO
Credential:
Phone: 386-274-4736