# HIDDEN ROOTS HEALING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235774308
- **Authorized official:** JOHNNA MARIE HJERSMAN EVERSON PLMHP (MARRIAGE/FAMILY THERAPIST)
- **Authorized official phone:** (402) 314-0981

## Contact information

- **Practice address:** 2126 N 117TH AVE, OMAHA, NE 68164-3670
- **Practice address phone:** (402) 934-1617
- **Mailing address:** 6338 LAFAYETTE AVE, OMAHA, NE 68132-1255
- **Mailing address phone:** (402) 314-0981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2019
- **Last updated:** 11/13/2019