# TEEN MENTAL HEALTH TEXAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124973086
- **Authorized official:** TAYLOR CAVENDER (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (512) 883-4583

## Contact information

- **Practice address:** 1464 E WHITESTONE BLVD STE 1304B, CEDAR PARK, TX 78613-9072
- **Practice address phone:** (201) 306-5670
- **Mailing address:** 1464 E WHITESTONE BLVD STE 1304B, CEDAR PARK, TX 78613-9072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2026
- **Last updated:** 07/23/2026