NPI 1235774308 · live from the CMS NPI Registry
Hidden Roots Healing LLC
Marriage & Family Therapist in Omaha, NE. National Provider Identifier 1235774308, active.
NPI record
| NPI | 1235774308 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 2126 N 117th Ave, Omaha, NE 68164 |
| Practice phone | 402-934-1617 |
| Mailing address | 6338 Lafayette Ave, Omaha, NE 68132 |
| Enumerated | November 13, 2019 |
| Last updated | November 13, 2019 |
| Authorized official | Johnna Hjersman Everson, Marriage/Family Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.