Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Park, LCPC

Individual provider Professional Counselor · NPI 1710647813

Grace Park, LCPC is a Professional Counselor in Portland, Maine. Licensed in Maine. Registered with an NPI since 2021.

Licensed in
ME
In the registry since
2021
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

104 Brackett St
Portland, ME 04102-3824
Phone: (480) 631-9834
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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 CC7280 (ME)

Record details

NPI number1710647813
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedDecember 30, 2021
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

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