Healthcare Provider Details

I. General information

NPI: 1780506261
Provider Name (Legal Business Name): PEACEFUL RESTORATION BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1923 POPLAR DR
STUART VA
24171-4893
US

IV. Provider business mailing address

1923 POPLAR DR
STUART VA
24171-4893
US

V. Phone/Fax

Practice location:
  • Phone: 276-692-8729
  • Fax: 276-209-5006
Mailing address:
  • Phone: 276-692-8729
  • Fax: 276-209-5006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA MULLINS HUNT
Title or Position: OWNER/NURSE PRACTITIONER
Credential: PMNHP- BC, FNP-BC
Phone: 276-692-8729