Healthcare Provider Details

I. General information

NPI: 1265337281
Provider Name (Legal Business Name): PEACEFUL HORIZONS HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 E SOUTHERN AVE
MESA AZ
85206-2558
US

IV. Provider business mailing address

8716 GREENWAY DR
SPOTSYLVANIA VA
22551-2956
US

V. Phone/Fax

Practice location:
  • Phone: 703-409-1400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SYLVIA CHONYA
Title or Position: EXECUTIVE DIRECTOR/ADMINISTRATORR
Credential: DNP, MPH, BSN, RN,
Phone: 703-409-1400