# JC PRECIOUS MINDS PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558131888
- **Authorized official:** JEANNETTE CALIXTE PMHNP-BC (OWNER)
- **Authorized official phone:** (323) 826-8362

## Contact information

- **Practice address:** 508 OLD SOUTH ST, AVON, MA 02322-1535
- **Practice address phone:** (323) 826-8362
- **Mailing address:** 508 OLD SOUTH ST, AVON, MA 02322-1535
- **Mailing address phone:** (323) 826-8362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 01/08/2024