TEEN MENTAL HEALTH TEXAS LLC – NPI #1124973086
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Health Care Provider Taxonomy Code for Clinic/Center

TEEN MENTAL HEALTH TEXAS LLC is an AHC clinic located in CEDAR PARK, TX. NPPES has assigned the NPI number 1124973086 to TEEN MENTAL HEALTH TEXAS LLC on March 04, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TEEN MENTAL HEALTH TEXAS LLC below.

NPI Profile for
TEEN MENTAL HEALTH TEXAS LLC

NPI Number
1124973086
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TEEN MENTAL HEALTH TEXAS LLC
Primary location
1464 E WHITESTONE BLVD STE 1304B
CEDAR PARK, TX 78613-9072
Phone: (201) 306-5670 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAYLOR CAVENDER
AUTHORIZED OFFICIAL
Phone: (201) 306-5670
Updated
Certification Date
Mar 04, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)
251S00000X
- Community/Behavioral Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.