Provider Demographics
NPI:1043999493
Name:GOOD GRIEF PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:GOOD GRIEF PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MADEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-338-8555
Mailing Address - Street 1:1543 FALL RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-3710
Mailing Address - Country:US
Mailing Address - Phone:401-338-8555
Mailing Address - Fax:
Practice Address - Street 1:1543 FALL RIVER AVE
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-3710
Practice Address - Country:US
Practice Address - Phone:401-338-8555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health