MEDICARE: THE SPACE: A COUNSELING CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1851931927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SPACE: A COUNSELING CENTER, LLC

Provider Business Mailing Address
First Line	:	2 N CENTRAL AVE STE 2
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4268
Country	:	US
Telephone Number	:	251-272-9460
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 N CENTRAL AVE STE 2
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4268
Country	:	US
Telephone Number	:	251-272-9460
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TRISHA MCKEITHEN
Credential	:	LPC
Telephone Number	:	251-272-9460

Provider Enumeration Date	:	01/07/2020
Last Update Date	:	03/12/2026

Similar Medicare Providers

1265873871 — NICOLE SHEPARD LPC
Practice Location Address:

2 N CENTRAL AVE
STAUNTON, VA
24401-4268

Practice Phone: 540-949-7045
Practice Fax: 540-949-8897

1598128407 — TRISHA MCKEITHEN LPC
Practice Location Address:

2 N CENTRAL AVE STE 2
STAUNTON, VA
24401-4268

Practice Phone: 251-272-9460
Practice Fax:

1154842912 — ANDREW DYLAN MARKHAM MA, BCBA, LBA
Practice Location Address:

2 N CENTRAL AVE
STAUNTON, VA
24401-4268

Practice Phone: 540-462-7273
Practice Fax:

1538712146 — ASHLEY SHOWALTER BCBA, LBA
Practice Location Address:

2 N CENTRAL AVE
STAUNTON, VA
24401-4268

Practice Phone: 540-448-4238
Practice Fax:

1265110191 — TYLER FLEMING BERRY BCBA/LBA
Practice Location Address:

2 N CENTRAL AVE
STAUNTON, VA
24401-4268

Practice Phone: 540-949-7045
Practice Fax:

1922493394 — ELIZA C BUELT MD
Practice Location Address:

103 VALLEY CENTER DR
STAUNTON, VA
24401-5080

Practice Phone: 540-332-8001
Practice Fax:

Directions to “THE SPACE: A COUNSELING CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.