Patrick Henry House LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PATRICK HENRY HOUSE LLC

Practice address

22840 Patrick Henry Hwy
Jetersville, VA 23083-2803

Phone

(410) 353-8724

NPI assigned

Nov 21, 2025

Last updated

May 6, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marissa Williams, LPC

Title

Director

Phone

(804) 999-7441

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1801757562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22840 PATRICK HENRY HWY",
            "city": "JETERSVILLE",
            "state": "VA",
            "postal_code": "230832803",
            "telephone_number": "804-999-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22840 PATRICK HENRY HWY",
            "city": "JETERSVILLE",
            "state": "VA",
            "postal_code": "230832803",
            "telephone_number": "410-353-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK HENRY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-999-7441",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Hearing Specialists
• Elizabeth Brucker-Skelton, RPT
• Thomas A Casey, M.S.
• Stevie Chalkley
• Dwayne Lamar Delaney, BA-QMHP-C/A
• Martha Ann Rodgers, CERTIFIED NUTRIONIST

• Substance Abuse Rehabilitation Facility in Jetersville, VA
• Providers in Jetersville, VA by specialty
• Substance Abuse Rehabilitation Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.