Provider Demographics
NPI:1871291146
Name:PERSEVERANCE THERAPEUTIC & HEALTH SERVICES
Entity type:Organization
Organization Name:PERSEVERANCE THERAPEUTIC & HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATASSIA
Authorized Official - Middle Name:APRIL
Authorized Official - Last Name:TOXEY ASKEW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:757-703-8065
Mailing Address - Street 1:3575 BRIDGE RD #176 STE 8
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435
Mailing Address - Country:US
Mailing Address - Phone:757-703-8065
Mailing Address - Fax:757-239-5988
Practice Address - Street 1:3575 BRIDGE RD #176 STE 8
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435
Practice Address - Country:US
Practice Address - Phone:757-703-8065
Practice Address - Fax:757-239-5988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty