| Dc Jackson Llc | |
|
25 Grizzly Bear Run Rd Taos NM 87571 | |
| (505) 523-0066 | |
| Not Available |
| Full Name | Dc Jackson Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 25 Grizzly Bear Run Rd, Taos, New Mexico |
| Authorized Official Name and Position | Charity Jackson (OWNER) |
| Authorized Official Contact | 9402201684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dc Jackson Llc 1335 Paseo Del Pueblo Sur # 249 Taos NM 87571-5972 Ph: (505) 523-0066 | Dc Jackson Llc 25 Grizzly Bear Run Rd Taos NM 87571 Ph: (505) 523-0066 |
| NPI Number | 1265264857 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265264857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
A Port In A Storm Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1337 Gusdorf Rd Ste H, Taos, NM 87571 Phone: 575-737-9352 Fax: 575-737-5054 | |
Taos Pueblo Cms Administration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Rotten Tree Road, Taos, NM 87571 Phone: 575-758-7824 Fax: 575-758-3346 | |
Bluebird, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1332 Gusdorf Rd Ste B, Taos, NM 87571 Phone: 575-751-4065 Fax: 575-751-4075 | |
Kathy E. Linton, Ms, Lpcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Paseo Del Pueblo Sur, Suite 101, Taos, NM 87571 Phone: 575-224-1526 | |
New Mexico Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 Paseo Del Pueblo Sur, Taos, NM 87571 Phone: 505-560-9355 | |
Taos Family And Couples Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 Paseo Del Pueblo Norte, Taos, NM 87571 Phone: 224-628-6373 |