# UMBRELLA MENTAL HEALTH SERVICES, PA

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

## Provider details

- **NPI number:** 1700996063
- **Authorized official:** MRS. MARJORIE ELAINE AVERILL LCSW (PRESIDENT/OWNER)
- **Authorized official phone:** (207) 563-3022

## Contact information

- **Practice address:** 73 BISCAY RD, DAMARISCOTTA, ME 04543-4614
- **Practice address phone:** (207) 563-3022
- **Practice address fax:** (207) 563-3061
- **Mailing address:** PO BOX 157, NOBLEBORO, ME 04555-0157
- **Mailing address phone:** (207) 563-3022
- **Mailing address fax:** (207) 563-3061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 486719 | ME | Yes |
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 486719 | ME | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 486719 | ME | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 03/13/2009