| Granite Pond, Llc | |
|
529 Main St Ste 106 Boston MA 02129 | |
| (617) 326-3014 | |
| (617) 326-3013 |
| Full Name | Granite Pond, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 529 Main St Ste 106, Boston, Massachusetts |
| Authorized Official Name and Position | Christopher M Miller (SOLE PROPRIETOR) |
| Authorized Official Contact | 6173263014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Pond, Llc 529 Main St Ste 106 Boston MA 02129-1120 Ph: (617) 326-3014 | Granite Pond, Llc 529 Main St Ste 106 Boston MA 02129 Ph: (617) 326-3014 |
| NPI Number | 1396081196 |
|---|---|
| Provider Enumeration Date | 12/25/2012 |
| Last Update Date | 12/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396081196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8106 (Massachusetts) | Primary |
The Collaborative Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Arlington St Ste 500, Boston, MA 02116 Phone: 617-651-1101 | |
Meditelecare Of Massachusetts, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 84 State St, Boston, MA 02109 Phone: 860-788-6404 Fax: 860-829-0495 | |
Ahead Massachusetts Medical Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Liberty Sq # 2523, Boston, MA 02109 Phone: 855-306-7786 Fax: 415-367-3629 | |
Harvard Vanguard Medical Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-1000 Fax: 617-421-1191 | |
Dr. Laura Fasciano Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Arch St Fl 8, Boston, MA 02110 Phone: 203-530-6979 | |
David Buckley Pmhnp Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Boylston St Ste 191l, Boston, MA 02116 Phone: 617-302-7102 | |
The Wellbeing Umbrella, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Devonshire St Ste 902, Boston, MA 02110 Phone: 617-383-7010 |