Individual provider · Type 1 NPI

Keagan Theron

Mental Health Counselor · Austin, TX

NPI number 1518804244 Active

Practice location

1415 W 51st St Unit 1
Austin, TX 78756-2659

Mailing address

14110 Kellywood Ln
Houston, TX 77079-6806

Other practice locations

  • 8500 Shoal Creek Blvd Ste 202, Austin, TX 78757-7591 · (512) 201-4501
  • 1213 W Slaughter Ln Ste 130, Austin, TX 78748-6904 · (512) 201-4501
  • 505 E Huntland Dr Ste 320, Austin, TX 78752-3741 · (512) 201-4501

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1518804244

Keagan Theron's National Provider Identifier is 1518804244, issued on Apr 30, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Apr 30, 2026.