MEDICARE: POLLY HEMINGSON

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	:	1881524650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	POLLY HEMINGSON

Provider Business Mailing Address
First Line	:	7308 CLAYMONT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-9303
Country	:	US
Telephone Number	:	303-589-6142
Fax Number	:

Provider Business Practice Location Address
First Line	:	7308 CLAYMONT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-9303
Country	:	US
Telephone Number	:	303-589-6142
Fax Number	:

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

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ POLLY HEMINGSON ” Practice Location

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