Provider Demographics
NPI:1689551178
Name:MEFFORD LLC
Entity type:Organization
Organization Name:MEFFORD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KLEIBOEKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-682-2034
Mailing Address - Street 1:4300 TATE CT
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-4180
Mailing Address - Country:US
Mailing Address - Phone:307-680-1057
Mailing Address - Fax:307-682-2968
Practice Address - Street 1:100 WARREN AVE
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-3728
Practice Address - Country:US
Practice Address - Phone:307-680-1057
Practice Address - Fax:307-682-2968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty