Healthcare Provider Details
I. General information
NPI: 1770473035
Provider Name (Legal Business Name): BALLAST COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22 FRENCH ST
HINGHAM MA
02043-3031
US
IV. Provider business mailing address
22 FRENCH ST
HINGHAM MA
02043-3031
US
V. Phone/Fax
- Phone: 781-277-2062
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANN
MARIE
SCHEMBRI
Title or Position: OWNER
Credential: LMHC
Phone: 781-277-2062