Healthcare Provider Details

I. General information

NPI: 1598128407
Provider Name (Legal Business Name): TRISHA MCKEITHEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E BEVERLEY ST STE C
STAUNTON VA
24401-4479
US

IV. Provider business mailing address

103 E BEVERLEY ST STE C
STAUNTON VA
24401-4479
US

V. Phone/Fax

Practice location:
  • Phone: 251-272-9460
  • Fax:
Mailing address:
  • Phone: 251-272-9460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701011181
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701011181
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3807
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1939
License Number StateMS
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3807
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: