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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 Specialty Code Provider Type

Mental Health

101YM0800X
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health, Child & Adolescent

364SP0807X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for UMBRELLA MENTAL HEALTH SERVICES, PA

NPI Number 1700996063
LBN Legal business name UMBRELLA MENTAL HEALTH SERVICES, PA
Authorized official MARJORIE AVERILL - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 03/13/2009 - About 17 years ago
Identifiers
ME License # 486719
ME Medicaid 432269200
ME Other 9187290 AETNA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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