Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Granite Pond, LLC

Organization Mental Health Counselor · NPI 1396081196

Granite Pond, LLC is a Mental Health Counselor in Lynn, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2012.

Licensed in
MA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

85 Exchange St Ste 202
Lynn, MA 01901-1400
Phone: (617) 326-3014
Fax: (617) 326-3013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8106 (MA)

Record details

NPI number1396081196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Miller — Sole Proprietor · (617) 326-3014
NPI enumeratedDecember 25, 2012
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing addressPo Box 471, Lynn, MA 01903-0571

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