Healthcare Provider Details

I. General information

NPI: 1043378516
Provider Name (Legal Business Name): HOLLY TARA HAMMERSHOY M.ED., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1595 LAKEVIEW AVE
DRACUT MA
01826-3396
US

IV. Provider business mailing address

14 LANTERN LN UNIT 6
DRACUT MA
01826-4564
US

V. Phone/Fax

Practice location:
  • Phone: 978-455-2628
  • Fax: 978-746-9480
Mailing address:
  • Phone: 617-967-6576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4122
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: