Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Polly Moutevelis-Burgess, LCPC, LMFT

Individual provider Professional Counselor · NPI 1548570989

Dr. Polly Moutevelis-Burgess, LCPC, LMFT is a Professional Counselor in Bangor, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2010
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

106 Pine St
Bangor, ME 04401-5294
Phone: (207) 990-5070
Fax: (207) 581-3017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC284 (ME)

Record details

NPI number1548570989
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , LMFT
Sole proprietorYes
NPI enumeratedOctober 19, 2010
Last updated in NPPESOctober 19, 2010

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