Organization
TEEN MENTAL HEALTH TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR CAVENDER (AUTHORIZED OFFICIAL)
(201) 306-5670
Entity
Organization
Contact information
Practice address
1464 E WHITESTONE BLVD STE 1304B, CEDAR PARK, TX 78613-9072
(201) 306-5670
Mailing address
1464 E WHITESTONE BLVD STE 1304B, CEDAR PARK, TX 78613-9072
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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