DC JACKSON LLC
NPI 1265264857
Clinic/Center - Adult Mental Health in Taos, NM
- Organization
- Clinic/Center
- Adult Mental Health
About DC JACKSON LLC
This page provides the complete NPI Profile along with additional information for Dc Jackson Llc, a provider established in Taos, New Mexico operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1265264857 assigned on August 2024. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Charity Jackson Ms, Lpc-s, Lpcc (Owner)
- NPI
- 1265264857 Verify this NPI
- Provider Name
- DC JACKSON LLC
- Entity Type
- Organization
- Location Address
- 25 GRIZZLY BEAR RUN RD TAOS, NM 87571
- Location Phone
- (505) 523-0066
- Mailing Address
- 1335 PASEO DEL PUEBLO SUR # 249 TAOS, NM 87571
- Mailing Phone
- (505) 523-0066
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2024
- Last Update Date
- 08-14-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Reviews for DC JACKSON LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265264857, enumerated as an "organization" on August 14, 2024.
The provider is located at 25 GRIZZLY BEAR RUN RD TAOS, NM 87571 and the phone number is (505) 523-0066.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
