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General NPI Number Information
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NPI Number | 1780506261
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Entity Type | Organization
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Legal Business Name | PEACEFUL RESTORATION BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 1923 POPLAR DR
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City | STUART
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State | VA
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Zip | 24171-4893
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Country | US
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Telephone | 276-692-8729
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Fax | 276-209-5006
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Provider Business Mailing Address
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Address Line | 1923 POPLAR DR
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City | STUART
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State | VA
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Zip | 24171-4893
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Country | US
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Telephone | 276-692-8729
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Fax | 276-209-5006
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | VICTORIA MULLINS HUNT
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Credential | PMNHP- BC, FNP-BC
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Telephone | 276-692-8729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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