NPI 1235774308
Hidden Roots Healing LLC
Practice location
- Address
- 2126 N 117th Ave, Omaha, NE 68164-3670
- Phone
- (402) 934-1617
- Mailing address
- 6338 Lafayette Ave, Omaha, NE 68132-1255
Authorised official
- Name
- Johnna Marie Hjersman Everson
- Title
- Marriage/Family Therapist
- Phone
- (402) 314-0981
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1235774308
- Entity type
- Organization
- NPI issued
- 13 Nov 2019
- Record last updated
- 13 Nov 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.