| Granite Cove, LLC | |
|
51 Fort Sq Gloucester MA 01930-5055 | |
| (978) 248-8480 | |
| Not Available |
| Full Name | Granite Cove, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 51 Fort Sq, Gloucester, Massachusetts |
| Authorized Official Name and Position | Charlee Bianchini (OWNER) |
| Authorized Official Contact | 9782488480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Cove, LLC 51 Fort Sq Gloucester MA 01930-5055 | Granite Cove, LLC 51 Fort Sq Gloucester MA 01930-5055 Ph: (978) 248-8480 |
| NPI Number | 1033082433 |
|---|---|
| Provider Enumeration Date | 09/24/2025 |
| Last Update Date | 09/24/2025 |
| Certification Date | 09/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033082433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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