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DC JACKSON LLC
NPI 1265264857
Clinic/Center - Adult Mental Health in Taos, NM

Active since August 14, 2024
25 GRIZZLY BEAR RUN RD, TAOS, NM 87571(505) 523-0066 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dc Jackson Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DC JACKSON LLC (NPI 1265264857) is a healthcare organization registered as an adult mental health in Taos, New Mexico and active in the NPI registry since August 2024. The organization lists Charity Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1265264857
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameDC JACKSON LLC
Location Address25 GRIZZLY BEAR RUN RDTaos, NM 87571
Mailing Address1335 Paseo Del Pueblo Sur # 249Taos, NM 87571-5972 · (505) 523-0066
Phone(505) 523-0066
Organization SubpartNo
Authorized OfficialCharity JacksonOwner · (940) 220-1684
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1265264857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
25 GRIZZLY BEAR RUN RD, Taos, NM 87571
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dc Jackson LLC's NPI number?

The NPI number for Dc Jackson LLC is 1265264857. It was assigned to this organization in the NPPES registry on August 14, 2024.

Where is Dc Jackson LLC located?

Dc Jackson LLC is located at 25 Grizzly Bear Run Rd, Taos, NM 87571. The listed phone number is (505) 523-0066.

What is Dc Jackson LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Dc Jackson LLC was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.