Granite Pond, LLC
NPI #1396081196 in Lynn, Massachusetts
Provider Information
- NPI Number
- 1396081196
- Entity Type
- Organization
- Organization Name
- Granite Pond, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 25, 2012
- Last Updated
- Dec 22, 2025
Practice Location
- Address
- 85 EXCHANGE ST STE 202
- City
- Lynn
- State
- Massachusetts
- ZIP Code
- 01901-1400
- Phone
- (617) 326-3014
Authorized Official
- Name
- MR. CHRISTOPHER M MILLER, LMHC
- Title
- SOLE PROPRIETOR
- Phone
- (617) 326-3014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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