Provider Demographics
NPI:1265154769
Name:MEFFORD, TAYLOR EVAN (LMHC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:EVAN
Last Name:MEFFORD
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 BROWN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-3629
Mailing Address - Country:US
Mailing Address - Phone:385-477-8331
Mailing Address - Fax:
Practice Address - Street 1:618 E 21ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7206
Practice Address - Country:US
Practice Address - Phone:914-809-0498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013749101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health