Organization
UMBRELLA MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJORIE AVERILL LCSW (OWNER)
(207) 563-3022
Entity
Organization
Contact information
Practice address
73 BISCAY RD, DAMARISCOTTA, ME 04543-0000
(207) 563-3022
Mailing address
PO BOX 157, NOBLEBORO, ME 04555-0157
(207) 563-3022
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
486719
ME
251S00000X
Community/Behavioral Health Agency
486719
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700996063
—
ME
Enumeration date
05/02/2011
Last updated
05/02/2011
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