Organization
PURPOSE PEER & THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEROD STUKES CSAC, QMHPA/C, R-CPR (CEO)
(757) 799-8486
Entity
Organization
Contact information
Practice address
3626 WESTERN BRANCH BLVD, PORTSMOUTH, VA 23707-2534
(757) 799-8486
(757) 799-8486
Mailing address
3626 WESTERN BRANCH BLVD, PORTSMOUTH, VA 23707-2534
(757) 799-8486
(757) 799-8486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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