Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annzetta's Therapeutic Home for Boys, LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1063609659

Annzetta's Therapeutic Home for Boys, LLC is a Mental Illness Community Based Residential Treatment Facility in Petersburg, Virginia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1834 Buckner St
Petersburg, VA 23805-1705
Phone: (804) 863-2661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1063609659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Harris — Office Clerk · (804) 861-5182
NPI enumeratedSeptember 27, 2007
Last updated in NPPESOctober 25, 2007
Mailing address1834 Buckner St, Petersburg, VA 23805-1705

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