MEDICARE: KRISTINA HEMEN-ACKAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1780515031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA HEMEN-ACKAH

Provider Business Mailing Address
First Line	:	79140 STARLIGHT LN
Second Line	:
City	:	BERMUDA DUNES
State	:	CA
Zip	:	92203-1548
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	84110 MANILA AVE # B
Second Line	:
City	:	INDIO
State	:	CA
Zip	:	92201-7128
Country	:	US
Telephone Number	:	760-477-0733
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “ KRISTINA HEMEN-ACKAH ” Practice Location

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