National Provider Identifier Database

UMBRELLA MENTAL HEALTH SERVICES PA
Mental Health


Contact Information

UMBRELLA MENTAL HEALTH SERVICES, PA
73 BISCAY RD
DAMARISCOTTA, ME04543-4614
Phone: 207-563-3022
Fax: 207-563-3061
Website:
Specialty Taxonomy Code
* Mental Health 101YM0800X
Psychiatric/Mental Health, Adult 364SP0809X
Psychiatric/Mental Health, Child & Adolescent 364SP0807X

* Indicates primary specialty

NPI Profile & details for UMBRELLA MENTAL HEALTH SERVICES, PA

NPI Number 1700996063
Legal business name
LBN
UMBRELLA MENTAL HEALTH SERVICES, PA
Authorized official MARJORIE AVERILL - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 03/13/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: 486719
  • ME Medicaid: 432269200
  • ME Other: 9187290 AETNA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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