Dolphin M Avery-Grubel, LCPC-C
Counselor, Professional in South Portland, Maine
1801628664- Practice location
- 105 Boothby Ave, South Portland, ME 04106-4631
- Phone
- 207-747-9741
- Fax
- —
- Last updated
- August 19, 2026
Dolphin Moon Avery-Grubel is a Counselor, Professional based in South Portland, ME. Dolphin Moon Avery-Grubel practices in South Portland, ME and has the professional credentials of LCPC-C. The NPI Number for Dolphin Moon Avery-Grubel is 1801628664 and holds a License No. XL7648 (ME). The current practice location address for Dolphin Moon Avery-Grubel is 105 Boothby Ave, South Portland, ME 04106-4631 and can be reached out via phone at 207-747-9741.
Provider Profile Details
- NPI Number
- 1801628664
- Provider Name
- Dolphin Moon Avery-Grubel
- Credential
- LCPC-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 105 Boothby Ave, South Portland, ME 04106-4631
- Phone Number
- 207-747-9741
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 19, 2024
- Last Update Date
- August 19, 2026
- Certification Date
- August 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Boothby Ave
South Portland, ME 04106-4631 - City
- South Portland
- State
- Maine
- Zip
- 04106-4631
- Phone Number
- 207-747-9741
Provider Business Mailing Address Details
- Address
- 105 Boothby Ave
South Portland, ME 04106-4631 - City
- South Portland
- State
- ME
- Zip
- 04106-4631
- Phone Number
- 207-747-9741
License Information
- License Number
- XL7648
- License State
- ME
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dolphin M Avery-Grubel, LCPC-C?
The NPI number of Dolphin M Avery-Grubel, LCPC-C is 1801628664. It was assigned on August 19, 2024 and is currently active in the NPPES registry.
What is the specialty of Dolphin M Avery-Grubel, LCPC-C?
Dolphin M Avery-Grubel, LCPC-C is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number XL7648.
Where does Dolphin M Avery-Grubel, LCPC-C practice?
The practice location is 105 Boothby Ave, South Portland, ME 04106-4631. The office can be reached at 207-747-9741 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801628664 directly on the NPPES registry website.