# THE UMBRELLA AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013311521
- **Authorized official:** MARJORIE E AVERILL LCSW (PRESIDENT)
- **Authorized official phone:** (207) 563-3022

## Contact information

- **Practice address:** 73 BISCAY RD, DAMARISCOTTA, ME 04543
- **Practice address phone:** (207) 563-3022
- **Practice address fax:** (207) 563-6146
- **Mailing address:** PO BOX 38, NOBLEBORO, ME 04555-0038
- **Mailing address phone:** (207) 563-3022
- **Mailing address fax:** (207) 563-6146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 682863 | ME | — |
| 101YM0800X | Mental Health Counselor | 682861 | ME | Yes |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 02/09/2015